Katrina Sue Barger, PA-C

Individual provider Active NPI Medical Physician Assistant · Zion, IL

NPI 1861850331 · NPPES record last updated Jan 4, 2024

Key facts

NPI
1861850331
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
085.005619 (IL)
Practice address
2520 Elisha Ave
Zion, IL 60099-2676
Phone
(847) 872-6367
NPI assigned
Jan 29, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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 1

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Southern Illinois University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical Group of Illinois PLLC (129 clinicians)

Practice addresses (Care Compare)

2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561

Hospital & facility affiliations

  • Midwestern Region Med Center, Inc Hospital · Zion, IL · CCN 140100

Merit-based Incentive Payment System (MIPS)

Final score
86.5 of 100 (group)
Quality
74.24
Promoting interoperability
100
Improvement activities
40
Cost
66.56

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160513000932 IL Practitioner - Physician Assistant 1850680810 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.005619ILMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: kbarger145022@cityofhope.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085.005619 IL Yes

Addresses

Primary practice location

2520 Elisha Ave
Zion, IL 60099-2676

Mailing address

2520 Elisha Ave
Zion, IL 60099
Phone (847) 872-4561

Other identifiers

IdentifierTypeStateIssuer
13817618OtherILCAQH PROVIDER ID
F400296166OtherILMEDICARE ID

Other names

  • Katrina Sue Edwards Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com

Other providers in Zion, IL

All providers in Zion, IL · Medical Physician Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.