MS. KATHRYN RAE CARLOVSKY (RN, ACNP) – Acute Care Nurse Practitioner, NPI 1306030119

MS. KATHRYN RAE CARLOVSKY (RN, ACNP) is a healthcare provider. based in Rockford, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, ACNP. The NPI Number for MS. KATHRYN RAE CARLOVSKY (RN, ACNP) is 1306030119

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHRYN RAE CARLOVSKY (RN, ACNP)
NPI
1306030119
Phone
(815) 226-2000
Address
5666 E STATE ST
Enumeration Date
5 September 2007
Last Update Date
5 September 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8153871717
Graduation Year
2005 (21 years ago)
PAC ID
9638364714
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20101115000959
Address ID
IL611075076RO535XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MS. KATHRYN RAE CARLOVSKY (RN, ACNP)

  • 5666, East State Street, Rockford, Winnebago County, Illinois, 61108, United States

    ROCKFORD, IL 611082425

    Phone: (815) 226-2000

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($78).

Total Amount

$167

General + Research + Ownership

Payments

3

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-11-15

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
I20101115000959INurse 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
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes304136$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes26481$0
94010Test to measure expiratory airflow and volume11994$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes11439$0
99215Established patient office or other outpatient visit, 40-54 minutes6355$0
View full utilization report →

Insurance plans in this area (ZIP 61108)

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Provider's Procedures

MS. KATHRYN RAE CARLOVSKY (RN, ACNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERIL90670Pneumococcal vaccine for injection into muscle1717

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: 3678889789View full group profile

Reviews

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Frequently asked questions

Can I verify MS. KATHRYN RAE CARLOVSKY (RN, ACNP) with an NPI only?
You can start verification with NPI 1306030119 for MS. KATHRYN RAE CARLOVSKY (RN, ACNP), then check state licensing separately.
Does the file indicate MS. KATHRYN RAE CARLOVSKY (RN, ACNP) is practicing under active NPI?
Directory data currently reports MS. KATHRYN RAE CARLOVSKY (RN, ACNP) as active.
What is MS. KATHRYN RAE CARLOVSKY (RN, ACNP)'s primary classification?
Acute Care Nurse Practitioner is the headline specialty for MS. KATHRYN RAE CARLOVSKY (RN, ACNP) here. Clinical services aligned with this taxonomy classification.
What area does MS. KATHRYN RAE CARLOVSKY (RN, ACNP) serve?
MS. KATHRYN RAE CARLOVSKY (RN, ACNP)'s listing highlights Rockford, Illinois; more addresses can appear in NPPES.
Why does MS. KATHRYN RAE CARLOVSKY (RN, ACNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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