Individual provider Active NPI

Katrina K Berres, FNP-C

  • Family Nurse Practitioner
  • Morris, IL
National Provider Identifier
1831665231
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.018231 Issued in IL
Practice address
1722 Carol Anne Dr
Morris, IL 60450-9033
Phone
(331) 229-7013
NPI assigned
Oct 23, 2018
Last updated
Oct 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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 209.018231 IL Primary

Addresses

Primary practice location

1722 Carol Anne Dr
Morris, IL 60450-9033

Mailing address

1722 Carol Anne Dr
Morris, IL 60450-9033
Phone (331) 229-7013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181228001610 IL Practitioner - Nurse Practitioner 6305181918 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Bespoke PsychiatryGroup PAC ID 3274951744, 51 clinicians

Practice addresses (Care Compare)

101 E Via Ghiglieri
Toluca, IL 61369-9596
Phone (877) 883-9430

1203 W Augusta Blvd
Chicago, IL 60642-4327
Phone (773) 248-2255

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
80.59
Promoting interoperability
100
Improvement activities
40
Cost
76.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.018231ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince May 11, 2022 Accepting new patients

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

4051 N Lincoln Ave
Chicago, IL 60618
Phone (773) 871-2611

11200 Lincoln Hwy
Mokena, IL 60448
Phone (815) 464-2171

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1831665231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 CAROL ANNE DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604509033",
            "telephone_number": "331-229-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 CAROL ANNE DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604509033",
            "telephone_number": "331-229-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRES",
        "first_name": "KATRINA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.018231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.