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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KATELYNN LARUE PA-C
NPI 1619888666
Physician Assistant in Rockford, IL

Active since September 16, 2026
1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600(815) 490-1881 Get Directions Write a Review

NPPES record added: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Katelynn Larue Pa-c NPPES

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

KATELYNN LARUE PA-C (NPI 1619888666) is an individual physician assistant in Rockford, Illinois and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1619888666
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATELYNN LARUECredential: PA-C
Location Address1200 W STATE STRockford, IL 61102-2112
Mailing Address1200 W State StRockford, IL 61102-2112 · (815) 490-1600 · Fax (815) 490-1881
Phone(815) 490-1600
Fax(815) 490-1881
Sole ProprietorNo
Enumeration DateSeptember 16, 2026
NPPES CertifiedSeptember 16, 2026
✔ NPI 1619888666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1200 W STATE ST, Rockford, IL 61102
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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.

CARYN ANN RUZIC APRN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. JOHN WALL MD
Family Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. ADEKOLA ABIOUDUN ASHAYE MD
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. GARY PATRICK FERNANDO MD
Pediatrics
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CRISTINA DIVENTI LSW
Social Worker
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CORNITA CANNON M.D.
Obstetrics & Gynecology
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
LAURA PEREZ CNM, APRN
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
KERIN CUMMINS APN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600

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 Katelynn Larue's NPI number?

The NPI number for Katelynn Larue is 1619888666. It was assigned to this individual provider in the NPPES registry on September 16, 2026.

Where is Katelynn Larue located?

Katelynn Larue practices at 1200 W State St, Rockford, IL 61102. The listed phone number is (815) 490-1600.

What is Katelynn Larue's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Katelynn Larue was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.