| Ms Katy Jo Northcutt, APN, FNP-BC, ENP-C | |
|
9 Heartland Dr Ste C, Bloomington, IL 61704-7733 | |
| (309) 663-7642 | |
| (309) 663-8359 |
| Full Name | Ms Katy Jo Northcutt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9 Heartland Dr Ste C, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609343128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.018225 (Illinois) | Primary |
| Entity Name | Midwest Emergency Department Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245263367 PECOS PAC ID: 5193627727 Enrollment ID: O20040123000845 |
| Entity Name | Proctor Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
| Entity Name | Bloomington Primary Care, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689991929 PECOS PAC ID: 9436342375 Enrollment ID: O20101022001158 |
| Entity Name | Abraham Lincoln Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558586180 PECOS PAC ID: 9436040573 Enrollment ID: O20101123001008 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Katy Jo Northcutt, APN, FNP-BC, ENP-C 9 Heartland Dr Ste C, Bloomington, IL 61704-7733 Ph: (309) 663-7642 | Ms Katy Jo Northcutt, APN, FNP-BC, ENP-C 9 Heartland Dr Ste C, Bloomington, IL 61704-7733 Ph: (309) 663-7642 |
Theresa Kauth, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 | |
Cheryl Hansen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-454-4411 | |
Carey Harris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3000 Fax: 309-664-3026 | |
Elizabeth Jeanne Igoe, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-556-7800 Fax: 309-556-7804 | |
Ms. Linda Kay Wall, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 W Washington St, 3rd Floor, Bloomington, IL 61701 Phone: 309-827-4014 Fax: 309-828-6626 | |
Amy O'brien, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-3360 Fax: 309-661-3390 | |
Mrs. Sonal Mukesh Patel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3800 |