MRS. KATHERINE ROSE FORD CRNA
NPI 1073869475
Nurse Anesthetist, Certified Registered in Mendota, IL

Active since August 03, 2012Accepts Medicare Assignment
1401 E 12TH ST, MENDOTA, IL 61342(815) 343-1925 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2025, Jun 15, 2018 (2 updates tracked since 2018).

About Mrs. Katherine Rose Ford Crna NPPES

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

MRS. KATHERINE ROSE FORD CRNA (NPI 1073869475) is an individual nurse anesthetist, certified registered in Mendota, Illinois, licensed in Illinois (041.328911) and active in the NPI registry since August 2012. She is affiliated with Osf Saint Elizabeth Mdl Ctr and is a graduate of Other (2012).

NPPES Registry Identity

NPI1073869475
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. KATHERINE ROSE FORDCredential: CRNA
Location Address1401 E 12TH STMendota, IL 61342
Mailing Address1401 E 12th StMendota, IL 61342-9216 · (815) 539-1607
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 3, 2012
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
NPI 1073869475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in IL · 041.328911
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 209-009634 (IL)
1401 E 12TH ST, Mendota, IL 61342

Other Names 1

Former Name (1)Ms. Katherine Rose Riva-foster Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Katherine Rose Ford Crna 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 ID1951554856
PECOS Enrollment IDI20121228000336

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
104 services104 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
69 services69 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
34 services34 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
21 services21 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
15 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61342 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 12

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

Physical Therapist
1401 E 12TH ST
MENDOTA, IL 61342
Physical Therapist
1401 E 12TH ST
MENDOTA, IL 61342
Occupational Therapist
1401 E 12TH ST
MENDOTA, IL 61342
Physical Therapist
1401 E 12TH ST
MENDOTA, IL 61342
Physician Assistant
1401 E 12TH ST
MENDOTA, IL 61342
Nurse Anesthetist, Certified Registered
1401 E 12TH ST
MENDOTA, IL 61342
Occupational Therapy Assistant
1401 E 12TH ST
MENDOTA, IL 61342
Anesthesiology (Pain Medicine)
1401 E 12TH ST
MENDOTA, IL 61342

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 Katherine Ford's NPI number?

The NPI number for Katherine Ford is 1073869475. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Where is Katherine Ford located?

Katherine Ford practices at 1401 E 12th St, Mendota, IL 61342. The listed phone number is (815) 343-1925.

What is Katherine Ford's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Katherine Ford enrolled in Medicare?

Yes. Katherine Ford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Katherine Ford affiliated with any hospitals?

According to CMS data, Katherine Ford is affiliated with Osf Saint Elizabeth Mdl Ctr, Osf Saint Paul Medical Center and Osf Saint Clare Medical Center.

When was this NPI record last updated?

The NPPES record for Katherine Ford was last updated on March 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.