Katelin Marie Breuning

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.020981 Issued in IL

Practice address

10736 Getz Rd
Mount Carroll, IL 61053-9060

Phone

(815) 266-9021

NPI assigned

Mar 10, 2020

Last updated

Mar 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Applebaum Physiatry PLLC

  • Physical Medicine & Rehabilitation Physician
  • Oak Brook, IL
  • NPI 1700598059
  Medicare reassignment Care Compare group NPD
• Nursing Home Physician Group PLLC

  • Physical Medicine & Rehabilitation Physician
  • Warrenville, IL
  • NPI 1417703844
  NPD (past)

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1982239992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10736 GETZ RD",
            "city": "MOUNT CARROLL",
            "state": "IL",
            "postal_code": "610539060",
            "telephone_number": "815-266-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10736 GETZ RD",
            "city": "MOUNT CARROLL",
            "state": "IL",
            "postal_code": "610539060",
            "telephone_number": "815-266-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREUNING",
        "first_name": "KATELIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.020981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Andrews
• Eric J Bader, PT
• Jesse Bashaw
• Matthew Thomas Becker, B.A.
• Jeremy Caleb Bleuer, B.A.
• Carroll County Health Department
• Sharon Kay Chadwick
• Complete Compassionate Care Inc.
• Angela K Conklin, APN/CNP
• County of Carroll (Carroll County Health Department)

• Nurse Practitioner in Mount Carroll, IL
• Providers in Mount Carroll, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.