KATELYN MIRABITO (PA-C) – Physician Assistant, NPI 1720597891

KATELYN MIRABITO (PA-C) is a healthcare provider. based in Hanover park, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA6276 (MA). The NPI Number for KATELYN MIRABITO (PA-C) is 1720597891

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN MIRABITO (PA-C)
NPI
1720597891
Phone
(847) 472-1500
Address
1515 E LAKE ST
Enumeration Date
21 September 2017
Last Update Date
1 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3312214300
Graduation Year
2017 (9 years ago)
PAC ID
5395011241
Group Practice PAC ID
3577458009
Professional Enrollment ID
I20181113003013
Address ID
IL601012565AD303XXSTXX401

Contacts

Secure Messaging
katelyn.emmerich.1@380.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:8State licenses:3Other namesUpdated within 12 months

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for KATELYN MIRABITO (PA-C)

  • East Lake Street, Bartlett, Hanover Township, Cook County, Illinois, 60107, United States

    HANOVER PARK, IL 601334869

    Phone: (847) 472-1500

    Type: Mailing

  • 1339 W Lake St

    Addison, IL 601011836

    Phone: (630) 930-5600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2023-09-14 • Largest payer in this snapshot: Neurelis, Inc. ($32).

Total Amount

$56

General + Research + Ownership

Payments

2

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-14

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: 2020-05-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20181113003013IPhysician AssistantILTBD
I20200528002538IPhysician AssistantINTBD

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
99285Emergency department visit with high level of medical decision making9289$0
99284Emergency department visit with moderate level of medical decision making4949$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only3030$0
99291Critical care, first 30-74 minutes2222$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 60133)

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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: 3577458009View full group profile
NameSpecialtyState
Emergency MedicineIL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
-IL
Physician AssistantIL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
-IL
Emergency MedicineIL
Emergency MedicineIL
-IL

Reviews

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Frequently asked questions

Does KATELYN MIRABITO (PA-C) have a public NPI I can cite?
Public records show KATELYN MIRABITO (PA-C) under NPI 1720597891.
Does the public listing show KATELYN MIRABITO (PA-C) as active?
KATELYN MIRABITO (PA-C)'s NPI record reflects an active status in NPPES.
What services align with KATELYN MIRABITO (PA-C)'s listing?
KATELYN MIRABITO (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KATELYN MIRABITO (PA-C) tied to Hanover Park, Illinois?
If you are local to Hanover Park, Illinois, KATELYN MIRABITO (PA-C) may be relevant to your search.
Who maintains KATELYN MIRABITO (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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