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KATHERINE SPALDING APN
NPI 1164804316
Nurse Practitioner - Acute Care in Aurora, IL

Active since June 24, 2015PECOS EnrolledAccepts Medicare Assignment
2088 OGDEN AVE, SUITE 160, AURORA, IL 60504(630) 851-6440 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2020, Feb 7, 2019, Jul 7, 2017 (3 updates tracked since 2017).

About Katherine Spalding Apn NPPES

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

KATHERINE SPALDING APN (NPI 1164804316) is an individual acute care provider in Aurora, Illinois, licensed in Illinois (209.012815) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164804316
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKATHERINE SPALDINGCredential: APN
Location Address2088 OGDEN AVE, SUITE 160Aurora, IL 60504-4376
Mailing Address2088 Ogden Ave Ste 160Aurora, IL 60504-4383 · (630) 851-6440 · Fax (630) 851-7001
Phone(630) 851-6440
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 24, 2015
Last NPPES UpdateJuly 20, 20203 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1164804316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 209.012815
2088 OGDEN AVE, Aurora, IL 60504
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, CareSource, Oscar Health Insurance.Insurance ›

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

Katherine Spalding Apn 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 ID840506374
PECOS Enrollment IDI20150828002317
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Katherine Spalding reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Divine Hospice & Palliative Care LLC
12 mi
Hospice Care, Community Based
234 GARDEN ST
Yorkville, IL 60560
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1437517547 (630) 553-8500
Telemedico Physicians Pulmonary Sc
40 mi
Pulmonary Disease
3330 SKOKIE VALLEY RD STE 200
Highland Park, IL 60035
  • Reassigned Medicare billing, Illinois enrollment
  • 22 clinicians in this Medicare group
NPI 1972115384 (847) 386-7744
Telemedico Physicians Cardiology Ohio Inc
299 mi
Cardiovascular Disease
1160 DUBLIN RD STE 400
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 10 clinicians in this Medicare group
NPI 1174304950 (847) 386-7744
Telemedico Physicians Pulmonary Ohio Inc
299 mi
Pulmonary Disease
1160 DUBLIN RD STE 400
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 10 clinicians in this Medicare group
NPI 1598546376 (847) 386-7744

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

Areas of Expertise CMS Part B claims 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,122 services309 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
601 services259 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
330 services329 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
78 services78 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
50 services24 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
31 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60504 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 11

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

HEART HORIZONS LLC DBA RUSH COPLEY CARDIAC DIAGNOSTIC CENTER
Clinic/Center (Medical Specialty)
2088 OGDEN AVE, SUITE 150
AURORA, IL 60504
Dupage County (630) 978-4830
DR. GUDMUNDUR STEINAR GUDMUNDSSON M.D.
Internal Medicine (Cardiovascular Disease)
2088 OGDEN AVE, STE. 160
AURORA, IL 60504
Dupage County (630) 851-6440
DR. MAMATA M ALWARSHETTY MD
Internal Medicine (Interventional Cardiology)
2088 OGDEN AVE, SUITE 160
AURORA, IL 60504
Dupage County (630) 851-6440
RESPIRATORY CONSULTANTS, SC
Internal Medicine (Pulmonary Disease)
2088 OGDEN AVE, SUITE 250
AURORA, IL 60504
Dupage County (630) 499-7500
MRS. CARMEN JEAN KAUFMAN PA-C
Physician Assistant
2088 OGDEN AVE, SUITE 160
AURORA, IL 60504
Dupage County (630) 851-6440
FOX VALLEY CARDIOVASCULAR CONSULTANTS, LLC
Internal Medicine (Cardiovascular Disease)
2088 OGDEN AVE, SUITE 160
AURORA, IL 60504
Dupage County (630) 851-6440
RUSH COPLEY CARDIOVASCULAR CONSULTANTS, LLC
Internal Medicine (Cardiovascular Disease)
2088 OGDEN AVE, SUITE 160
AURORA, IL 60504
Dupage County (630) 851-6440
DR. GAURAV BIPIN SHAH D.O.
Internal Medicine (Interventional Cardiology)
2088 OGDEN AVE, STE. 160
AURORA, IL 60504
Dupage County (630) 851-6440

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 Spalding's NPI number?

The NPI number for Katherine Spalding is 1164804316. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Where is Katherine Spalding located?

Katherine Spalding practices at 2088 Ogden Ave Suite 160, Aurora, IL 60504. The listed phone number is (630) 851-6440.

What is Katherine Spalding's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Katherine Spalding enrolled in Medicare?

Yes. Katherine Spalding 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.

Which organizations bill Medicare for Katherine Spalding's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Spalding reassigns Medicare benefits to 4 organizations: Divine Hospice & Palliative Care LLC (Yorkville, IL), Telemedico Physicians Pulmonary Sc (Highland Park, IL), Telemedico Physicians Cardiology Ohio Inc (Columbus, OH) and Telemedico Physicians Pulmonary Ohio Inc (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Spalding's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Spalding accept?

Health plans from Blue Cross and Blue Shield of Kansas City, CareSource and Oscar Health Insurance list Katherine Spalding as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Spalding was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.