DR. KATHERINE JEAN COULTER (DNP,APN,FNP-BC,MSN) – Nurse Practitioner, NPI 1104184878
Nurse Practitioner
Main info
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for DR. KATHERINE JEAN COULTER (DNP,APN,FNP-BC,MSN)
1804 LETHA WESTGATE DR
SYCAMORE, IL 601788781
Phone: (815) 501-8629
Type: Mailing
PO BOX 78866
MILWAUKEE, WI 532788866
Phone: (779) 696-7150
Type: Mailing
380 E IL ROUTE 38
ROCHELLE, IL 610689694
Phone: (779) 696-9050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121117000080 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 108 | 70 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 72 | $0 |
| G0008 | Administration of influenza virus vaccine | 33 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 25 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 23 | 22 | $0 |
Insurance plans in this area (ZIP 60178)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal Medicine | WI | |
| Thoracic Surgery, Cardiac Surgery | MI | |
| Physical Therapist In Private Practice | IL | |
| - | IL | |
| General Surgery | GA | |
| Internal Medicine | WI | |
| N E U R O S U R G E R Y | IL | |
| - | WI | |
| Orthopedic Surgery | WI | |
| Physician Assistant | WI |
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