1. Home
  2. Directory
  3. Illinois
  4. Kankakee
  5. Physician Assistant
  6. NPI Profile

MRS. KATELYN M RUGINO PA-C
NPI 1669741997
Physician Assistant in Kankakee, IL

Active since December 15, 2011PECOS Enrolled
375 N WALL ST STE 530, KANKAKEE, IL 60901(815) 932-7200(815) 935-8797 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2022, Feb 3, 2017, Aug 17, 2016 (3 updates tracked since 2016).

About Mrs. Katelyn M Rugino Pa-c NPPES

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

MRS. KATELYN M RUGINO PA-C (NPI 1669741997) is an individual physician assistant in Kankakee, Illinois, licensed in Ohio (50.004856RX) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669741997
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KATELYN M RUGINOCredential: PA-C
Location Address375 N WALL ST STE 530Kankakee, IL 60901-3483
Mailing Address375 N Wall St Ste 530Kankakee, IL 60901-3483 · (815) 932-7200 · Fax (815) 935-8797
Phone(815) 932-7200
Fax(815) 935-8797
Sole ProprietorNo
Enumeration DateDecember 15, 2011
Last NPPES UpdateJanuary 23, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1669741997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.004856RX
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.
375 N WALL ST STE 530, Kankakee, IL 60901
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Katelyn M Beach Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Katelyn M Rugino Pa-c 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.

Areas of Expertise CMS Part B claims 2

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 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.
28 services25 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.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60901 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Katelyn Rugino's NPI number?

The NPI number for Katelyn Rugino is 1669741997. It was assigned to this individual provider in the NPPES registry on December 15, 2011. The provider is also known as Ms. Katelyn M Beach Pa-C.

Where is Katelyn Rugino located?

Katelyn Rugino practices at 375 N Wall St Ste 530, Kankakee, IL 60901. The listed phone number is (815) 932-7200.

What is Katelyn Rugino's specialty?

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

Is Katelyn Rugino enrolled in Medicare?

Yes. Katelyn Rugino is registered in the Medicare PECOS enrollment system.

What insurance does Katelyn Rugino accept?

Health plans from MedMutual list Katelyn Rugino 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.

When was this NPI record last updated?

The NPPES record for Katelyn Rugino was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.