KATHLEEN JO HAGENAUER APN
NPI 1053649574
Nurse Practitioner - Neonatal, Critical Care in Peoria, IL

Q: What is Kathleen Hagenauer's NPI number?

The NPI number for Kathleen Hagenauer is 1053649574. It was assigned to this individual provider in the NPPES registry on November 20, 2009. The provider is also known as Kahtleen Jo Moersch.

Q: What is Kathleen Hagenauer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Active since November 20, 2009PECOS Enrolled

530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000(309) 655-7480 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kathleen Jo Hagenauer Apn NPPES

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

KATHLEEN JO HAGENAUER APN (NPI 1053649574) is an individual neonatal, critical care provider in Peoria, Illinois, licensed in Illinois (209007387) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053649574

Entity TypeIndividualFemale

Primary Taxonomy363LN0005X

Provider Legal NameKATHLEEN JO HAGENAUERCredential: APN

Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001

Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-2000 · Fax (309) 655-7480

Phone(309) 655-2000

Fax(309) 655-7480

Sole ProprietorNo

Enumeration DateNovember 20, 2009

Last NPPES UpdateJuly 12, 2021

NPPES CertifiedJuly 12, 2021

✔ NPI 1053649574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0005X

License✔ Licensed in IL · 209007387

530 NE GLEN OAK AVE, Peoria, IL 61637

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Other Names 1

Former Name (1)Kahtleen Jo Moersch

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Jo Hagenauer Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

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 20

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

DR. DEEPAK S NAIR M.D.

Psychiatry & Neurology (Neurology)

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

DR. HAMID MAHMOOD ZIA M.D

Pathology (Anatomic Pathology & Clinical Pathology)

530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637

Peoria County (309) 624-9011

THOMAS JAMES MCMORROW MD

Pediatrics

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2553

ALEXANDRA ROPER MD

Surgery

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

JAPMEHR KAUR SANDHU M.B.B.S.

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 624-9351

THOMAS BLACKWELL JR. MD

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

LUKE KLOFT

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2109

ABIGAIL V. WELU DO

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-6710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Hagenauer's NPI number?

The NPI number for Kathleen Hagenauer is 1053649574. It was assigned to this individual provider in the NPPES registry on November 20, 2009. The provider is also known as Kahtleen Jo Moersch.

Where is Kathleen Hagenauer located?

Kathleen Hagenauer practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2000.

What is Kathleen Hagenauer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Kathleen Hagenauer enrolled in Medicare?

Yes. Kathleen Hagenauer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Hagenauer was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.