Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Katelyn M Johnson , APN, CNP

Nurse Practitioner โ€ข Peoria, IL

Active NPI 1174093009 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

200 E Pennsylvania Ave
Peoria, IL 616033089

Call 3096244000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 E Pennsylvania Ave

Peoria, IL 616033089

Telephone 3096244000
Fax 3096244010
Organization at the Same NPPES Address or Phone
Internal Medicine Group Of Peoria Sc Facility NPI 1972507747

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Osf Multi-Specialty Group. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

2018

Medicare patients

154 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $29,892 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $22,860 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

1,860 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$118,379 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $91.97 in 2022

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2022.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Katelyn Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Katelyn Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Peoria and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Nurse Practitioner in Peoria, IL (2024, 112 clinicians with data). Median for this group: 436. Middle half: 197 to 1,246.

Close to the middle for clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: 261. Middle half: 101 to 526.

Medicare-allowed amount

Close to the middle for clinicians listed under Nurse Practitioner in Peoria, IL (2024, 112 clinicians with data). Median for this group: $31,142. Middle half: $15,870 to $66,989.

A higher Medicare-allowed amount than 60% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $21,010. Middle half: $8,652 to $42,014.

Paid by Medicare

Close to the middle for clinicians listed under Nurse Practitioner in Peoria, IL (2024, 112 clinicians with data). Median for this group: $21,757. Middle half: $11,088 to $47,818.

A higher Medicare payment amount than 60% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $15,151. Middle half: $6,396 to $31,322.

Medicare Part D prescriptions

More Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Peoria, IL (2024, 105 clinicians with data). Median for this group: 276. Middle half: 103 to 1,180.

More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: 259. Middle half: 80 to 930.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Nurse Practitioner in Peoria, IL (2024, 105 clinicians with data). Median for this group: $12,905. Middle half: $1,639 to $146,275.

A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: $10,867. Middle half: $976 to $113,945.

182 active clinicians are listed under Nurse Practitioner with a practice address in Peoria, IL (4,894 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Peoria

29.1% of these 182 clinicians have the CMS telehealth indicator.

67.6% of these 182 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2022

Program year 2022 (payments made January 1 โ€“ December 31, 2022): fewer than 11 records totaling $91.97.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
UBRELVY General $91.97

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2019โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
102 66 $413.00 $144.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
59 47 $413.00 $118.63
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
29 20 $117.00 $25.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
28 23 $294.00 $104.23
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
24 18 $208.00 $73.81
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
23 18 $117.00 $25.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
14 14 $560.00 $150.13

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Donepezil Hcl Donepezil Hcl 172 10,260 $2,324.65 45
Memantine Hcl Memantine Hcl 105 5,513 $4,961.96 25
Sertraline Hcl Sertraline Hcl 98 5,700 $524.53 25
Gabapentin Gabapentin 71 4,081 $1,407.48 21
Atorvastatin Calcium Atorvastatin Calcium 50 3,094 $274.70 14
Primidone Primidone 39 2,829 $909.75 11
Qulipta Atogepant 37 1,044 $37,328.03 โ€”
Aimovig Autoinjector Erenumab-Aooe 35 1,222 $29,674.57 โ€”
Topiramate Topiramate 32 2,140 $168.44 โ€”
Levetiracetam Levetiracetam 31 2,183 $451.27 โ€”
Pregabalin Pregabalin 30 1,033 $1,457.82 โ€”
Lamotrigine Lamotrigine 29 2,234 $360.11 โ€”
Carbidopa-Levodopa Carbidopa/Levodopa 26 1,750 $465.78 11
Tizanidine Hcl Tizanidine Hcl 25 725 $92.33 โ€”
Amitriptyline Hcl Amitriptyline Hcl 23 990 $549.06 โ€”
Ubrelvy Ubrogepant 23 728 $32,601.31 โ€”
Divalproex Sodium Er Divalproex Sodium 21 773 $1,196.67 โ€”
Clopidogrel Clopidogrel Bisulfate 19 1,257 $293.79 โ€”
Sumatriptan Succinate Sumatriptan Succinate 16 586 $246.28 โ€”
Hydroxyzine Hcl Hydroxyzine Hcl 16 130 $106.50 โ€”
Ropinirole Hcl Ropinirole Hcl 13 905 $102.41 โ€”
Divalproex Sodium Divalproex Sodium 13 430 $478.20 โ€”
Rosuvastatin Calcium Rosuvastatin Calcium 13 1,170 $55.65 โ€”
Ezetimibe Ezetimibe 13 858 $181.87 โ€”
Lacosamide Lacosamide 13 750 $1,284.78 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IL 209018151

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20190102000957

Enrollment State Jurisdiction

IL

PECOS Control ID

1951646454

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Osf Multi-Specialty Group

200 E Pennsylvania Ave, Peoria, IL 616033089

Phone: 3096244000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

33 listed
Angela Adams , APRN

Nurse Practitioner - Family

NPI 1922687938

Advanced Practice Registered Nurse

Stephanie Beckstrom , APN

Nurse Practitioner

NPI 1487127734

Advanced Practice Nurse

Janice Boerke , APN CNS

Clinical Nurse Specialist

NPI 1518992809

APNCNS

Dr. Joshua Chisholm , DO

Psychiatry & Neurology - Neurology

NPI 1477903219

Doctor of Osteopathic Medicine (D.O.)

Candace Couri

Nurse Practitioner

NPI 1447627773
Lisa Flier , APN

Nurse Practitioner - Acute Care

NPI 1093902744

Advanced Practice Nurse

Career & Practice History

NPI enumerated December 04, 2018.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from December 2018 to August 2026.

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NPI Administrative Meta

NPI Number: 1174093009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2018
Last Update: December 04, 2018
Sole Proprietor: No

Other Nurse Practitioners in Peoria

All Nurse Practitioners in Peoria

Mailing Address

200 E Pennsylvania Ave

Peoria, IL 616033089

Phone: 3096244000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.