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KATELYN SUE PHILLIPS DNP
NPI 1891441515
Nurse Practitioner - Family in Jerseyville, IL

Active since February 22, 2022PECOS EnrolledAccepts Medicare Assignment
903 S STATE ST, JERSEYVILLE, IL 62052(618) 639-9255(618) 639-8100 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2024, Jul 21, 2023, Jul 6, 2023 and 1 more (4 updates tracked since 2022).

About Katelyn Sue Phillips Dnp NPPES

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

KATELYN SUE PHILLIPS DNP (NPI 1891441515) is an individual family provider in Jerseyville, Illinois, licensed in Illinois (209027803) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Jersey Community Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1891441515
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATELYN SUE PHILLIPSCredential: DNP
Location Address903 S STATE STJerseyville, IL 62052-2344
Mailing Address390 Maple Summit RdJerseyville, IL 62052-2000 · (618) 498-7518 · Fax (618) 498-3052
Phone(618) 639-9255
Fax(618) 639-8100
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 22, 2022
Last NPPES UpdateNovember 13, 20244 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1891441515 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 · 209027803
903 S STATE ST, Jerseyville, IL 62052
Open in Google Maps ↗

Other Names 1

Former Name (1)Katelyn Sue Shaw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica.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

Katelyn Sue Phillips Dnp 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 ID3971966250
PECOS Enrollment IDI20230905001505
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 Reassignment

Medicare enrollment records show Katelyn Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jersey Community Hospital
1.2 mi
Rural Health
270 MAPLE SUMMIT RD, MCDOW BLDG
Jerseyville, IL 62052
  • Reassigned Medicare billing, Illinois enrollment
  • 61 clinicians in this Medicare group
NPI 1659750818 (618) 498-7108

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

Hospital Affiliations CMS Care Compare

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

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140059
Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62052 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.

Other Providers at the Same Location NPPES 6

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

ANESTHESIA SERVICES ASSOCIATES, PLLC
Durable Medical Equipment & Medical Supplies
903 S STATE ST
JERSEYVILLE, IL 62052
Jersey County (618) 498-2150
DR. JAMES A BRIGGS DC
Chiropractor
903 S STATE ST
JERSEYVILLE, IL 62052
Jersey County (618) 498-8806
KATELYN N SINCLAIR FNP-C
Nurse Practitioner (Family)
903 S STATE ST
JERSEYVILLE, IL 62052
Jersey County (618) 639-9255
MRS. LINDSEY BUCKLES PA
Physician Assistant
903 S STATE ST
JERSEYVILLE, IL 62052
Jersey County (618) 639-9255
RONALD J MUELLER D.C.
Chiropractor
903 S STATE ST
JERSEYVILLE, IL 62052
Jersey County (618) 498-8806
JERSEY COMMUNITY HOSPITAL
Clinic/Center (Rural Health)
903 S STATE ST
JERSEYVILLE, IL 62052
Jersey County (618) 639-9255

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 Phillips's NPI number?

The NPI number for Katelyn Phillips is 1891441515. It was assigned to this individual provider in the NPPES registry on February 22, 2022. The provider is also known as Katelyn Sue Shaw.

Where is Katelyn Phillips located?

Katelyn Phillips practices at 903 S State St, Jerseyville, IL 62052. The listed phone number is (618) 639-9255.

What is Katelyn Phillips's specialty?

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

Is Katelyn Phillips enrolled in Medicare?

Yes. Katelyn Phillips 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 organization bills Medicare for Katelyn Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Phillips reassigns Medicare benefits to Jersey Community Hospital (Jerseyville, IL). The 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 Katelyn Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Phillips accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Katelyn Phillips 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 Katelyn Phillips affiliated with any hospitals?

According to CMS data, Katelyn Phillips is affiliated with Jersey Community Hospital.

When was this NPI record last updated?

The NPPES record for Katelyn Phillips was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.