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KATHY A WILLENBORG RN, PMHNP-BC
NPI 1760770085
Nurse Practitioner - Psychiatric/Mental Health in Anna, IL

Active since July 20, 2011PECOS EnrolledAccepts Medicare Assignment
1000 N MAIN ST, ANNA, IL 62906(618) 202-6441 Get Directions Write a Review

NPPES record last updated: October 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathy A Willenborg Rn, Pmhnp-bc NPPES

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

KATHY A WILLENBORG RN, PMHNP-BC (NPI 1760770085) is an individual psychiatric/mental health provider in Anna, Illinois, licensed in Illinois (209016361) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1760770085
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHY A WILLENBORGCredential: RN, PMHNP-BC
Location Address1000 N MAIN STAnna, IL 62906-1652
Mailing Address1000 N Main StAnna, IL 62906-1652 · (618) 202-6441
Phone(618) 202-6441
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 20, 2011
Last NPPES UpdateOctober 1, 2022
NPPES CertifiedOctober 1, 2022
✔ NPI 1760770085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209016361
1000 N MAIN ST, Anna, IL 62906
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathy A Willenborg Rn, Pmhnp-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 ID5991160491
PECOS Enrollment IDI20230507000089
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathy Willenborg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cape Girardeau Behavioral Health LLC
22 mi
Psychiatric Hospital
639 S SILVER SPRINGS RD
Cape Girardeau, MO 63703
  • Reassigned Medicare billing, Missouri enrollment
  • 19 clinicians in this Medicare group
NPI 1700485281 (573) 708-5000
Bootheel Counseling Services
46 mi
Mental Health (Including Community Mental Health Center)
760 PLANTATION BLVD
Sikeston, MO 63801
  • Reassigned Medicare billing, Missouri enrollment
  • 29 clinicians in this Medicare group
NPI 1386789139 (573) 471-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
175 services34 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.
20 services13 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62906 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 20

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

UNIT 4462 CEDAR HALL UPPER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1000 N MAIN ST
ANNA, IL 62906
Union County (618) 833-5161
UNIT 4463 CYPRESS HALL LOWER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1000 N MAIN ST
ANNA, IL 62906
Union County (618) 833-5161
LISA C HOLLABAUGH P.H.D.
Psychologist
1000 N MAIN ST
ANNA, IL 62906
Union County (618) 833-5161
UNIT 4464 CYPRESS HALL UPPER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1000 N MAIN ST
ANNA, IL 62906
Union County (618) 833-5161
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Intermediate Care Facility, Intellectual Disabilities
1000 N MAIN ST
ANNA, IL 62906
Union County (618) 833-5161
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Pharmacy (Long Term Care Pharmacy)
1000 N MAIN ST
ANNA, IL 62906
Union County (618) 833-5161
TAYLOR BRE-AN PHILLIPS
Licensed Practical Nurse
1000 N MAIN ST
ANNA, IL 62906
Union County (618) 833-2118
BRENT R SNELL D.O.
Psychiatry & Neurology (Psychiatry)
1000 N MAIN ST
ANNA, IL 62906
Union County (618) 833-5161

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 Kathy Willenborg's NPI number?

The NPI number for Kathy Willenborg is 1760770085. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Kathy Willenborg located?

Kathy Willenborg practices at 1000 N Main St, Anna, IL 62906. The listed phone number is (618) 202-6441.

What is Kathy Willenborg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kathy Willenborg enrolled in Medicare?

Yes. Kathy Willenborg 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.

Which organizations bill Medicare for Kathy Willenborg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Willenborg reassigns Medicare benefits to 2 organizations: Cape Girardeau Behavioral Health LLC (Cape Girardeau, MO) and Bootheel Counseling Services (Sikeston, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathy Willenborg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathy Willenborg accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Oscar Insurance Company list Kathy Willenborg 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 Kathy Willenborg was last updated on October 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.