KATHERINE E HOUSE FNP
NPI 1659805513
Nurse Practitioner - Family in Swansea, IL

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
88.91/100
CMS Quality Rating
12 WOLF CREEK DR, SUITE 200, SWANSEA, IL 62226(618) 239-9910(618) 628-0883 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2021, Mar 16, 2021, Apr 18, 2017 (3 updates tracked since 2017).

About Katherine E House Fnp NPPES

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

KATHERINE E HOUSE FNP (NPI 1659805513) is an individual family provider in Swansea, Illinois, licensed in Illinois (209015689) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1659805513
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE E HOUSECredential: FNP
Location Address12 WOLF CREEK DR, SUITE 200Swansea, IL 62226-2314
Mailing Address916 Talon Dr, Suite 102O Fallon, IL 62269-1848 · (618) 628-8211 · Fax (618) 628-0883
Fax(618) 628-0883
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 18, 2017
Last NPPES UpdateMarch 23, 20213 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
NPI 1659805513 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 · 209015689
12 WOLF CREEK DR, Swansea, IL 62226

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

Katherine E House Fnp 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 ID345527214
PECOS Enrollment IDI20170502000237, I20171213000026
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 14

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.

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322
Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
792 services13 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
759 services200 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
341 services202 patients
Destruction of peripheral nerve or branch 64640
Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.
166 services33 patients
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.
85 services80 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.
69 services67 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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.

88.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.82
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
12 WOLF CREEK DR
SWANSEA, IL 62226
Specialist
12 WOLF CREEK DR, SUITE 200
SWANSEA, IL 62226
Physical Therapist
12 WOLF CREEK DR
SWANSEA, IL 62226
Physical Therapist
12 WOLF CREEK DR, STE 200
SWANSEA, IL 62226
Radiology (Diagnostic Radiology)
12 WOLF CREEK DR
SWANSEA, IL 62226

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 Katherine House's NPI number?

The NPI number for Katherine House is 1659805513. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Katherine House located?

Katherine House practices at 12 Wolf Creek Dr Suite 200, Swansea, IL 62226. The listed phone number is (618) 239-9910.

What is Katherine House's specialty?

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

Is Katherine House enrolled in Medicare?

Yes. Katherine House 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 Katherine House accept?

Health plans from UnitedHealthcare list Katherine House 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 Katherine House affiliated with any hospitals?

According to CMS data, Katherine House is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Katherine House was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.