MRS. KATLYN POUPORE (R.N.) – Nurse Practitioner, NPI 1154676625

MRS. KATLYN POUPORE (R.N.) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials R.N.. They hold a License No. 04138163 (IL). The NPI Number for MRS. KATLYN POUPORE (R.N.) is 1154676625

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATLYN POUPORE (R.N.)
NPI
1154676625
Phone
(773) 391-7381
Address
6110 N OTTAWA AVE
Enumeration Date
19 July 2012
Last Update Date
8 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084561600
Graduation Year
2015 (11 years ago)
PAC ID
9931408689
Group Practice PAC ID
8729064159
Professional Enrollment ID
I20160502000071
Address ID
IL607062901NO4900XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:13State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. KATLYN POUPORE (R.N.)

  • 6110 N OTTAWA AVE

    CHICAGO, IL 606313813

    Phone: (773) 391-7381

    Type: Mailing

  • 3 ERIE CT

    OAK PARK, IL 603022519

    Phone: (708) 763-6747

    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: 2016-05-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160502000071INurse PractitionerILTBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5755$0
99203New patient office or other outpatient visit, 30-44 minutes3434$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2828$0
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
81003Automated urinalysis test1716$0
View full utilization report →

Insurance plans in this area (ZIP 60631)

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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: 8729064159View full group profile
NameSpecialtyState
Physician AssistantIL
-IL
-IL
Physician AssistantMI
Physician AssistantIL
-NY
Physician AssistantIL
Nurse PractitionerIL
Physician AssistantMI
Physician AssistantIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. KATLYN POUPORE (R.N.)?
MRS. KATLYN POUPORE (R.N.) — NPI 1154676625 — is the standard way to identify this listing.
Does CMS list MRS. KATLYN POUPORE (R.N.) as active?
Yes — MRS. KATLYN POUPORE (R.N.) is active in the NPI listing used on this page.
What taxonomy line describes MRS. KATLYN POUPORE (R.N.)?
For research purposes, treat MRS. KATLYN POUPORE (R.N.) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does MRS. KATLYN POUPORE (R.N.) list a practice location?
Patients near Chicago, Illinois may find MRS. KATLYN POUPORE (R.N.) in results; validate coverage separately.
Is the information about MRS. KATLYN POUPORE (R.N.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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