Individual provider Active NPI

Katherine C Reed, APRN, CNP

  • Nurse Practitioner
  • Sandwich, IL
National Provider Identifier
1891387783
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209022847 Issued in IL
Practice address
1310 N Main St Ste 200
Sandwich, IL 60548-1397
Phone
(815) 786-8484
Fax
(815) 786-7153
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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 209022847 IL
Nurse Practitioner 363L00000X 209022847 IL Primary

Addresses

Primary practice location

1310 N Main St Ste 200
Sandwich, IL 60548-1397

Mailing address

937 Sheridan Cir
Naperville, IL 60563-9273
Phone (440) 856-6667

Other names 1

  • Katherine C Rotella Other 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
I20220707002814 IL Practitioner - Nurse Practitioner 4587044524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

1310 N Main St
Sandwich, IL 60548-1394
Phone (815) 786-3770

Hospital & facility affiliations

  • DMJ Home Health Services, Inc Home health agency, Aurora, IL, CCN 147997
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Valley West Community Hospital Hospital, Sandwich, IL, CCN 141340
  • Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209022847ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince May 31, 2023 Accepting new patients
Rush-Copley Medical Group, NFP CurrentSince Jun 1, 2022 Accepting new patients
Central Dupage Physician Group CurrentSince May 31, 2023 Accepting new patients

Locations

444 N Eola Rd
Ste 110
Aurora, IL 60502
Phone (630) 499-8758

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

1310 N Main St
Sandwich, IL 60548
Phone (815) 786-3770

1310 N Main St
Ste 200
Sandwich, IL 60548
Phone (815) 786-7150

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 3

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 6

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": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1891387783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 SHERIDAN CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639273",
            "telephone_number": "440-856-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N MAIN ST STE 200",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481397",
            "telephone_number": "815-786-8484",
            "fax_number": "815-786-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KATHERINE",
        "middle_name": "C",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022847",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209022847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "ROTELLA",
            "middle_name": "C",
            "credential": "APRN, CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sandwich, IL

Sources for this page

Verify at the official NPI Registry.