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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CATHERINE NJENGA MD
NPI 1194457556
Family Medicine in Decatur, IL

Active since June 25, 2022PECOS Enrolled
2300 N EDWARD ST, DECATUR, IL 62526(217) 876-3660(217) 876-3665 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2026, Aug 11, 2025, Dec 24, 2024 and 1 more (4 updates tracked since 2023).

About Catherine Njenga Md NPPES

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

CATHERINE NJENGA MD (NPI 1194457556) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (036.173169) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194457556
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCATHERINE NJENGACredential: MD
Location Address2300 N EDWARD STDecatur, IL 62526-4192
Mailing Address2300 N Edward StDecatur, IL 62526-4192 · (217) 876-3660 · Fax (217) 876-3665
Phone(217) 876-3660
Fax(217) 876-3665
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 25, 2022
Last NPPES UpdateSeptember 21, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1194457556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036.173169
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 036173169 (IL)
2300 N EDWARD ST, Decatur, IL 62526
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Catherine Njenga Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870775810
PECOS Enrollment IDI20251201000564, I20260604001195
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

3

Medicare enrollment records show Catherine Njenga reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Decatur Memorial Hospital
Same address
General Acute Care Hospital
2300 N EDWARD ST, GSBLL
Decatur, IL 62526
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
NPI 1164477725 (217) 876-2868
Taylorville Memorial Hospital
28 mi
Critical Access
201 E PLEASANT ST
Taylorville, IL 62568
  • Reassigned Medicare billing, Illinois enrollment
  • 67 clinicians in this Medicare group
NPI 1144292020 (217) 707-5555
Gabert Medical Services, Inc
934 mi
Multi-Specialty
107 DILWORTH ST
Glendive, MT 59330
  • Reassigned Medicare billing, Montana enrollment
  • 53 clinicians in this Medicare group
NPI 1336158930 (406) 345-8901

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

Hospital Affiliations CMS Care Compare 2

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Glendive Medical Center

Critical Access Hospitals · Glendive, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271332
Location202 Prospect DrGlendive, MT 59330 · Dawson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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.

CULLEN WHICKER CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2575
MR. JASON GRAUER APRN
Nurse Practitioner (Family)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121
DR. JEFFREY MARC BOORSTEIN MD
Radiology (Diagnostic Radiology)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2300
PAUL GURLEY PA-C
Physician Assistant
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-3000
CHRISTINE W CUTLER MS RD LD/N
Dietitian, Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2281
JACLYN NICOLE KLEMAN
Physical Therapist
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2600
BRITTNEY L JEFFERY CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2275
DR. DAVID JOSEPH EVELTI MD
Anesthesiology
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121

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 Catherine Njenga's NPI number?

The NPI number for Catherine Njenga is 1194457556. It was assigned to this individual provider in the NPPES registry on June 25, 2022.

Where is Catherine Njenga located?

Catherine Njenga practices at 2300 N Edward St, Decatur, IL 62526. The listed phone number is (217) 876-3660.

What is Catherine Njenga's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Catherine Njenga enrolled in Medicare?

Yes. Catherine Njenga is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Catherine Njenga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Njenga reassigns Medicare benefits to 3 organizations: Decatur Memorial Hospital (Decatur, IL), Taylorville Memorial Hospital (Taylorville, IL) and Gabert Medical Services, Inc (Glendive, MT). 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 Catherine Njenga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Catherine Njenga accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Catherine Njenga 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.

Is Catherine Njenga affiliated with any hospitals?

According to CMS data, Catherine Njenga is affiliated with Decatur Memorial Hospital and Glendive Medical Center.

When was this NPI record last updated?

The NPPES record for Catherine Njenga was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.