JOHANNA KATIGBAK (MSN, FNP-BC) – Family Nurse Practitioner, NPI 1104365980

Family Nurse Practitioner

JOHANNA KATIGBAK (MSN, FNP-BC) is a healthcare provider. based in Northbrook, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, FNP-BC. They hold a License No. 209.015592 (IL). The NPI Number for JOHANNA KATIGBAK (MSN, FNP-BC) is 1104365980

Main info

Female

10 Years Of Experience

Accepts Medicare Assignment

Name

JOHANNA KATIGBAK (MSN, FNP-BC)

NPI

1104365980

Phone

(847) 498-1515

Address

666 DUNDEE RD

Enumeration Date

14 February 2017

Last Update Date

14 February 2017

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8476237590

Graduation Year

2016 (10 years ago)

PAC ID

6709163934

Group Practice PAC ID

0042539173

Professional Enrollment ID

I20170426000264

Address ID

IL600854983WA2504XSTXX300

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience32

Completeness75

Years active:9State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for JOHANNA KATIGBAK (MSN, FNP-BC)

Dundee Road, Fair Meadows, Northbrook, Cook County, Illinois, 60062, United States
NORTHBROOK, IL 600622727
Phone: (847) 498-1515
Fax: (837) 498-2362
Mailing address matches the actual address.

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: 2017-04-26

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

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
I20170426000264	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.

Verify on CMS Revalidation Lookup Tool

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
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	117	67	$0
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	13	13	$0

View full utilization report →

Insurance plans in this area (ZIP 60062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0042539173View full group profile

Name	Specialty	State
ASHA M PATEL (NP)	-	IL
AIDA RUTH GABO BEARNOD (NP)	Nurse Practitioner	IL
TATANISHA FUNCHES	Nurse Practitioner	IL
RITA M. HALL (FNP)	Nurse Practitioner	IL
JOANNE BARBARA NOKIELSKI (APRN)	-	IL
NINFA BONTES (NP)	-	IL
ROSANNA VALINO SANTOS (APN NP-C)	Nurse Practitioner	IL
DR. SHELLY VIJAY (M.D.)	-	IL
MISS TANIYAMOL JOSEPH (NP)	Nurse Practitioner	IL
TATYANA PISAREVSKAYA (FNP)	Nurse Practitioner	IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHANNA KATIGBAK (MSN, FNP-BC)?

JOHANNA KATIGBAK (MSN, FNP-BC) — NPI 1104365980 — is the standard way to identify this listing.

Is JOHANNA KATIGBAK (MSN, FNP-BC) still practicing?

JOHANNA KATIGBAK (MSN, FNP-BC) is currently listed as active in the public NPI registry.

What healthcare role does JOHANNA KATIGBAK (MSN, FNP-BC) hold?

Scheduling teams often label JOHANNA KATIGBAK (MSN, FNP-BC) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What address line appears for JOHANNA KATIGBAK (MSN, FNP-BC)?

JOHANNA KATIGBAK (MSN, FNP-BC)'s geographic hint is Northbrook, Illinois in our summary view.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.