KATHRYN M ENDRESS NP
NPI 1487054425
Nurse Practitioner - Family in Peoria, IL

Q: What is Kathryn Endress's NPI number?

The NPI number for Kathryn Endress is 1487054425. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Q: What is Kathryn Endress's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Endress was last updated on February 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 27, 2014PECOS Enrolled

1701 W GARDEN ST, PEORIA, IL 61605(309) 680-7600(309) 680-7686 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kathryn M Endress Np NPPES

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

KATHRYN M ENDRESS NP (NPI 1487054425) is an individual family provider in Peoria, Illinois, licensed in Illinois (F06141327) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487054425

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHRYN M ENDRESSCredential: NP

Location Address1701 W GARDEN STPeoria, IL 61605-3531

Mailing Address1701 W Garden StPeoria, IL 61605-3531 · (309) 680-7600 · Fax (309) 680-7686

Phone(309) 680-7600

Fax(309) 680-7686

Sole ProprietorNo

Enumeration DateAugust 27, 2014

Last NPPES UpdateFebruary 5, 2016

✔ NPI 1487054425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · F06141327

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209-011751 (IL)

1701 W GARDEN ST, Peoria, IL 61605

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Other Identifiers 2

Other209-011751IL · Il License

Other309-007528IL · Il Controlled Substance License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn M Endress Np 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 61605 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 11

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

SARAH R KOSCICA MD

Family Medicine