KATIE A MENENDEZ (APRN) – Nurse Practitioner, NPI 1548980220

KATIE A MENENDEZ (APRN) is a healthcare provider. based in Highland, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 041464694 (IL). The NPI Number for KATIE A MENENDEZ (APRN) is 1548980220

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KATIE A MENENDEZ (APRN)
NPI
1548980220
Phone
(618) 651-2810
Address
12860 TROXLER AVE
Enumeration Date
1 September 2022
Last Update Date
29 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6186512600
Graduation Year
2022 (4 years ago)
PAC ID
2860863578
Group Practice PAC ID
4183617517
Professional Enrollment ID
I20230117001258
Address ID
IL622492806HI12866AVEX300

Contacts

Secure Messaging
kmenendez247654@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:3State licenses:2Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KATIE A MENENDEZ (APRN)

  • 12860 TROXLER AVE

    HIGHLAND, IL 622492898

    Phone: (618) 651-2810

    Fax: (618) 651-0077

    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 51 Open Payments records for all available years, with a total value of $1,143.

Total Amount is formed as General ($1,143) + Research ($0) + Ownership ($0) = $1,143.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($392).

Total Amount

$1,143

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2023-01-17

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230117001258INurse 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
36415Insertion of needle into vein for collection of blood sample6252$0
81003Automated urinalysis test4536$0
83036Hemoglobin a1c level3723$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2321$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1111$0
View full utilization report →

Insurance plans in this area (ZIP 62249)

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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: 4183617517View full group profile
NameSpecialtyState
Nurse PractitionerIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
Hospitalist, Internal Medicine, Infectious DiseaseKY
Family PracticeIL
Cardiovascular Disease (Cardiology), Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
-IL
Nurse PractitionerIL
Physician AssistantIL

Reviews

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Frequently asked questions

What federal number belongs to KATIE A MENENDEZ (APRN)?
The federal identifier for KATIE A MENENDEZ (APRN) is NPI 1548980220.
Is KATIE A MENENDEZ (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KATIE A MENENDEZ (APRN)?
The page reflects Nurse Practitioner for KATIE A MENENDEZ (APRN). Clinical services aligned with this taxonomy classification.
Where does public data place KATIE A MENENDEZ (APRN)?
The snapshot lists Highland, Illinois for KATIE A MENENDEZ (APRN); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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