KATIE SURMAN RD
NPI 1033038005
Dietitian, Registered in Carterville, IL

Q: What is Katie Surman's NPI number?

The NPI number for Katie Surman is 1033038005. It was assigned to this individual provider in the NPPES registry on July 14, 2026.

Q: What is Katie Surman's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Katie Surman was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2026Accepts Medicare Assignment

1006 S DIVISION ST, CARTERVILLE, IL 62918(618) 519-9200(618) 985-3774 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Katie Surman Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE SURMAN RD (NPI 1033038005) is an individual dietitian, registered in Carterville, Illinois, licensed in Illinois (164.006150) and active in the NPI registry since July 2026. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1033038005

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKATIE SURMANCredential: RD

Location Address1006 S DIVISION STCarterville, IL 62918-1539

Mailing Address109 California St, Po Box 577Carterville, IL 62918 · (618) 519-9200

Phone(618) 519-9200

Fax(618) 985-3774

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 14, 2026

NPPES CertifiedJuly 14, 2026

✔ NPI 1033038005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IL · 164.006150

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1006 S DIVISION ST, Carterville, IL 62918

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katie Surman Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850857327

PECOS Enrollment IDI20260727001082

Medicare Billing Reassignment

Medicare enrollment records show Katie Surman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shawnee Health Service And Development Corp

Same address

Federally Qualified Health Center (FQHC)

1006 S DIVISION ST
Carterville, IL 62918

Reassigned Medicare billing, Illinois enrollment
52 clinicians in this Medicare group

NPI 1811928732 (618) 985-4841

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62918 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA ELLIS LCPC

Counselor (Mental Health)