Individual provider Active NPI

Katie Kasper, NP-C

  • Family Nurse Practitioner
  • Bradley, IL
National Provider Identifier
1790155836
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013382 Issued in IL
Practice address
990 N Kinzie Ave
Bradley, IL 60915
Phone
(815) 933-2589
Fax
(815) 634-5253
NPI assigned
Oct 1, 2015
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209013382 IL Primary

Addresses

Primary practice location

990 N Kinzie Ave
Bradley, IL 60915

Mailing address

990 N Kinzie Ave
Bradley, IL 60915-1233
Phone (815) 933-2589

Other practice location 1

350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 933-1671

Other practice location 2

23120 S LaGrange Rd
Frankfort, IL 60423-7760
Phone (815) 464-5440

Other practice location 3

2080 N State Route 50
Bourbonnais, IL 60914-4410
Phone (815) 936-6012

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kasperk@genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151228000208 IL Practitioner - Nurse Practitioner 8224339890 Reassigns benefits to 5 organizations
I20201217002030 IA Practitioner - Nurse Practitioner 8224339890 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morrison Community Hospital DistrictGroup PAC ID 2466349907, shared by 6 NPIs, 40 clinicians
Trinity Medical Staffing LLCGroup PAC ID 1759712698, 35 clinicians

Practice addresses (Care Compare)

303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003

657 W Lincolnway
Morrison, IL 61270-2056
Phone (815) 772-5567

8 Doctors Park Rd
Mount Vernon, IL 62864-6224
Phone (618) 244-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Community Hospital District Current Accepting new patients
Mercy Specialty Clinic CurrentSince May 11, 2022 Accepting new patients
Riverside Health System CurrentSince Nov 20, 2015 Accepting new patients
Mercy Specialty Clinic CurrentSince May 11, 2022 Accepting new patients
Riverside Health System Current Accepting new patients
Genesis Health System CurrentSince Oct 5, 2020 Accepting new patients
Genesis Health System CurrentSince Oct 5, 2020 Accepting new patients
Apogee Medical Group Iowa PC CurrentSince Sep 1, 2025 Accepting new patients
Morrison Community Hospital District CurrentSince Jul 25, 2023 Accepting new patients
Trinity Medical Staffing LLC CurrentSince Apr 1, 2023 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Current Accepting new patients
Morrison Community Hospital District Family CurrentSince Jul 25, 2023 Accepting new patients
Genuine Healthcare PC PastSince Oct 23, 2022 Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003

657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

611 S Division St
Peotone, IL 60468
Phone (708) 258-9058

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Interoperability endpoints

  • Direct secure messaging: katie.kasper.1@15486.direct.athenahealth.com
  • Direct secure messaging: katie.kasper@direct.genesishealth.com
  • Direct secure messaging: katiekasper@mchospital.medalliesdirect.net

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1790155836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 N KINZIE AVE",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609151233",
            "telephone_number": "815-933-2589",
            "fax_number": "815-634-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 N KINZIE AVE",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "60915",
            "telephone_number": "815-933-2589",
            "fax_number": "815-634-5253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Wall St",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609012901",
            "country_code": "US",
            "telephone_number": "815-933-1671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23120 S LaGrange Rd",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604237760",
            "country_code": "US",
            "telephone_number": "815-464-5440",
            "fax_number": "815-936-5404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2080 N State Route 50",
            "address_purpose": "LOCATION",
            "city": "Bourbonnais",
            "state": "IL",
            "postal_code": "609144410",
            "country_code": "US",
            "telephone_number": "815-936-6012",
            "fax_number": "815-936-7231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASPER",
        "first_name": "KATIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kasperk@genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis East Hospital Davenport Iowa",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1230 E Rusholme St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528032452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradley, IL

Sources for this page

Verify at the official NPI Registry.