Individual provider Active NPI

Kathrine Sunstedt, CPNP-AC

  • Critical Care Pediatric Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1942801071
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
209.021251 Issued in IL
Practice address
1800 N Knoxville Ave Ste C
Peoria, IL 61603-3005
Phone
(309) 624-9680
Fax
(309) 624-9524
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 209.021251 IL Primary

Addresses

Primary practice location

1800 N Knoxville Ave Ste C
Peoria, IL 61603-3005

Mailing address

1800 N Knoxville Ave Ste C
Peoria, IL 61603-3005
Phone (309) 989-0046

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
I20210427001186 IL Practitioner - Nurse Practitioner 2365850658 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.021251ILMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Jan 19, 2021 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jan 19, 2021 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

7694 Solutions Ctr
Chicago, IL 60677

1800 N Knoxville Ave
Ste C
Peoria, IL 61603
Phone (309) 624-9680

420 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 655-2343

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

420 NE Glen Oak Ave
Ste 201
Peoria, IL 61603
Phone (309) 655-3800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1942801071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N KNOXVILLE AVE STE C",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033005",
            "telephone_number": "309-989-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N KNOXVILLE AVE STE C",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033005",
            "telephone_number": "309-624-9680",
            "fax_number": "309-624-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNSTEDT",
        "first_name": "KATHRINE",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "IL",
            "license": "209.021251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.