MS. MARY KATHERINE PENDLETON (APRN) – Adult Health Nurse Practitioner, NPI 1194788992

MS. MARY KATHERINE PENDLETON (APRN) is a healthcare provider. based in Westchester, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209014306 (IL). The NPI Number for MS. MARY KATHERINE PENDLETON (APRN) is 1194788992

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY KATHERINE PENDLETON (APRN)
NPI
1194788992
Phone
(866) 949-0108
Address
1 WESTBROOK CORPORATE CTR STE 300
Enumeration Date
11 April 2006
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157322499
Graduation Year
2002 (24 years ago)
PAC ID
7214966167
Group Practice PAC ID
7214088954
Professional Enrollment ID
I20160815001679
Address ID
IL610619514OR1658X2XXX500

Contacts

Main Contact
Oregon
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MS. MARY KATHERINE PENDLETON (APRN)

  • 1 WESTBROOK CORPORATE CTR STE 300

    WESTCHESTER, IL 601545709

    Phone: (866) 949-0108

    Fax: (866) 624-2391

    Type: Mailing

  • 1658 S IL ROUTE 2

    OREGON, IL 610619514

    Phone: (815) 732-2499

    Fax: (815) 732-6077

    Type: Location

  • PO BOX 462

    OREGON, IL 610610462

    Phone: (815) 732-2499

    Fax: (815) 732-6077

    Type: Mailing

  • 405, North Lake Zurich Road, Deer Park, Barrington, Cuba, Lake County, Illinois, 60010, United States

    BARRINGTON, IL 600103141

    Phone: (847) 381-5599

    Fax: (847) 381-1431

    Type: Mailing

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: 2016-08-15

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
I20160815001679INurse 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,250253$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes485143$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes209205$0
View full utilization report →

Insurance plans in this area (ZIP 60154)

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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: 7214088954View full group profile
NameSpecialtyState
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I verify MS. MARY KATHERINE PENDLETON (APRN) with an NPI only?
You can start verification with NPI 1194788992 for MS. MARY KATHERINE PENDLETON (APRN), then check state licensing separately.
Does the file indicate MS. MARY KATHERINE PENDLETON (APRN) is practicing under active NPI?
Directory data currently reports MS. MARY KATHERINE PENDLETON (APRN) as active.
What is MS. MARY KATHERINE PENDLETON (APRN)'s specialty?
The listing groups MS. MARY KATHERINE PENDLETON (APRN) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MS. MARY KATHERINE PENDLETON (APRN) on a map?
Expect Westchester, Illinois as a primary anchor for MS. MARY KATHERINE PENDLETON (APRN) unless the record lists multiple sites.
Why does MS. MARY KATHERINE PENDLETON (APRN) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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