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MS. KATY JO NORTHCUTT APRN, CNP
NPI 1609343128
Nurse Practitioner - Family in Bloomington, IL

Active since November 02, 2018PECOS EnrolledAccepts Medicare Assignment
9 HEARTLAND DR STE C, BLOOMINGTON, IL 61704(309) 663-7642(309) 663-8359 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2024, Apr 23, 2020, Nov 2, 2018 (3 updates tracked since 2018).

About Ms. Katy Jo Northcutt Aprn, Cnp NPPES

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

MS. KATY JO NORTHCUTT APRN, CNP (NPI 1609343128) is an individual family provider in Bloomington, Illinois, licensed in Illinois (209018225) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609343128
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KATY JO NORTHCUTTCredential: APRN, CNP
Location Address9 HEARTLAND DR STE CBloomington, IL 61704-7733
Mailing Address611 W Park StUrbana, IL 61801-2501 · (217) 383-3311
Phone(309) 663-7642
Fax(309) 663-8359
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 2, 2018
Last NPPES UpdateOctober 23, 20253 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1609343128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209018225
9 HEARTLAND DR STE C, Bloomington, IL 61704
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11523 Lafayette Park Dr Unit 6Bloomington, IL 61701-6800 · Phone (217) 365-7928
Location 22300 N Edward StDecatur, IL 62526-4163 · Phone (217) 876-8121

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

Ms. Katy Jo Northcutt Aprn, Cnp 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 ID1355763939
PECOS Enrollment IDI20200629001040
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
155 services130 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services78 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
45 services36 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
39 services38 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
38 services26 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
36 services32 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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 3

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

KAITLYN NAFZIGER APRN
Nurse Practitioner (Primary Care)
9 HEARTLAND DR STE C
BLOOMINGTON, IL 61704
McLean County (309) 663-7642
MRS. ELLEN ROTH R.D.
Dietitian, Registered
9 HEARTLAND DR STE C
BLOOMINGTON, IL 61704
McLean County (309) 663-7643
SUSAN COLLINS APRN
Nurse Practitioner (Family)
9 HEARTLAND DR STE C
BLOOMINGTON, IL 61704
McLean County (309) 663-7642

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 Katy Northcutt's NPI number?

The NPI number for Katy Northcutt is 1609343128. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Where is Katy Northcutt located?

Katy Northcutt practices at 9 Heartland Dr Ste C, Bloomington, IL 61704. The listed phone number is (309) 663-7642.

What is Katy Northcutt's specialty?

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

Is Katy Northcutt enrolled in Medicare?

Yes. Katy Northcutt 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 Katy Northcutt affiliated with any hospitals?

According to CMS data, Katy Northcutt is affiliated with Decatur Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Katy Northcutt was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.