KATY JO LORENZO
NPI 1205348133
Nurse Practitioner in O Fallon, IL

Active since November 01, 2017PECOS EnrolledAccepts Medicare Assignment
90.77/100
CMS Quality Rating
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269(618) 234-2120 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katy Jo Lorenzo NPPES

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

KATY JO LORENZO (NPI 1205348133) is an individual nurse practitioner in O Fallon, Illinois, licensed in Illinois (209015442) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205348133
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATY JO LORENZO
Location Address1 SAINT ELIZABETH BLVDO Fallon, IL 62269-1099
Mailing Address1 Saint Elizabeth BlvdO Fallon, IL 62269-1099 · (618) 234-2120
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 1, 2017
NPI 1205348133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209015442
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1 SAINT ELIZABETH BLVD, O Fallon, IL 62269

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

Katy Jo Lorenzo 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 ID8820357247
PECOS Enrollment IDI20180110002563
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
143 services50 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
62 services53 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
16 services14 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.98
Improvement Activities40
Cost68.13

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%130 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Emergency Medicine
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Nurse Practitioner (Family)
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Hospitalist
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Radiology (Vascular & Interventional Radiology)
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Hospitalist
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Physician Assistant
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Internal Medicine (Critical Care Medicine)
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205348133, enumerated as an "individual" on November 01, 2017.

The provider is located at 1 SAINT ELIZABETH BLVD O FALLON, IL 62269 and the phone number is (618) 234-2120.

Nurse Practitioner with taxonomy code 363L00000X.

Katy Lorenzo is affiliated with: HSHS ST ELIZABETH'S HOSPITAL.