Individual provider Active NPI

Catherine D Rollyson, FNP

  • Family Nurse Practitioner
  • Pekin, IL
National Provider Identifier
1841719259
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209016492 Issued in IL
Practice address
3400 Griffin Ave.
Pekin, IL 61554
Phone
(309) 347-4277
Fax
(309) 347-4388
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209016492 IL Primary
Nurse Practitioner 363L00000X 209016492 IL

Addresses

Primary practice location

3400 Griffin Ave.
Pekin, IL 61554

Mailing address

PO Box 19248
Springfield, IL 62794-9248
Phone (309) 347-4277

Other names 1

  • Catherine Buchanan Former name

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
I20171206000092 IL Practitioner - Nurse Practitioner 8729345426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Clinic, LLPGroup PAC ID 0547166076, 678 clinicians
Illinois Centers for Pain and Rehab, SCGroup PAC ID 7618949207, 6 clinicians

Practice addresses (Care Compare)

2200 Wabash Ave
Springfield, IL 62704-5352
Phone (217) 787-0727

3400 Griffin Ave
Pekin, IL 61554-6246
Phone (309) 347-4277

775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209016492ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Centers for Pain and Rehab, SC CurrentSince Oct 17, 2017 Accepting new patients
Springfield Clinic, LLP CurrentSince Mar 1, 2026 Accepting new patients

Locations

3400 Griffin Ave
Pekin, IL 61554
Phone (309) 244-7700

775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1841719259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19248",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949248",
            "telephone_number": "309-347-4277",
            "fax_number": "309-347-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 GRIFFIN AVE.",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "61554",
            "telephone_number": "309-347-4277",
            "fax_number": "309-347-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLYSON",
        "first_name": "CATHERINE",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016492",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "BUCHANAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pekin, IL

Sources for this page

Verify at the official NPI Registry.