MS. KATHLEEN ANN ULIVI FNP-BC
NPI 1619219110
Nurse Practitioner - Family in Gardner, IL

Active since March 22, 2013PECOS EnrolledAccepts Medicare Assignment
409 N US ROUTE 53, GARDNER, IL 60424(815) 237-0413(815) 237-0514 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2018, May 9, 2017 (2 updates tracked since 2017).

About Ms. Kathleen Ann Ulivi Fnp-bc NPPES

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

MS. KATHLEEN ANN ULIVI FNP-BC (NPI 1619219110) is an individual family provider in Gardner, Illinois, licensed in Illinois (209.010293) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Morris Hospital & Healthcare Centers, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619219110
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KATHLEEN ANN ULIVICredential: FNP-BC
Location Address409 N US ROUTE 53Gardner, IL 60424
Mailing Address1570 Periwinkle DrMorris, IL 60450-6840 · (815) 405-7195
Fax(815) 237-0514
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 22, 2013
Last NPPES UpdateMarch 30, 20182 updates tracked since enumeration
NPI 1619219110 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 · 209.010293
409 N US ROUTE 53, Gardner, IL 60424

Secondary Practice Locations 2

Location 1101 S Prairie AveDwight, IL 60420-1350 · Phone (815) 584-3291 · Fax (815) 584-3475
Location 2150 W High StMorris, IL 60450-1463 · Phone (815) 942-2932

Accepted Insurance

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. Kathleen Ann Ulivi Fnp-bc 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 ID5294969440
PECOS Enrollment IDI20131002000165
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 3

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.
192 services128 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.
174 services109 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Morris Hospital & Healthcare Centers

Acute Care Hospitals · Morris, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140101
Location150 W High StMorris, IL 60450 · Grundy County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60424 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims2,998 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$25.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kathleen Ulivi's NPI number?

The NPI number for Kathleen Ulivi is 1619219110. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Kathleen Ulivi located?

Kathleen Ulivi practices at 409 N Us Route 53, Gardner, IL 60424. The listed phone number is (815) 237-0413.

What is Kathleen Ulivi's specialty?

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

Is Kathleen Ulivi enrolled in Medicare?

Yes. Kathleen Ulivi 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.

What insurance does Kathleen Ulivi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kathleen Ulivi 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 Kathleen Ulivi affiliated with any hospitals?

According to CMS data, Kathleen Ulivi is affiliated with Morris Hospital & Healthcare Centers, Osf Saint Elizabeth Mdl Ctr, Saint James Hospital and Riverside Medical Center.

When was this NPI record last updated?

The NPPES record for Kathleen Ulivi was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.