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Active NPI 1669741997 Individual Practitioner Female Practitioner

Katelyn M Rugino , PA-C

Physician Assistant • Kankakee, IL

Professional Overview & Biography Verified Profile Summary

Katelyn Rugino, PA-C is a registered healthcare professional specializing in Physician Assistant in Kankakee, IL. Practice services are available at 375 N WALL ST STE 530 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

375 N Wall St Ste 530

Kankakee, IL 609013483

Telephone 8159327200
Fax 8159358797

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kankakee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Kankakee, IL (4958 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
28 25 $150.00 $73.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
23 22 $205.00 $103.79

Medical Specialties & State Licenses

CMS Verified: 2024-01-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.004856RX

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Bruce Dodt , MD

Psychiatry & Neurology - Neurology

NPI 1013059005

Doctor of Medicine (M.D.)

Morgan Funk , AGPCNP-BC

Nurse Practitioner - Adult Health

NPI 1780141234

AGPCNPBC

Karim Bouferrache , PA-C

Physician Assistant

NPI 1780969634

Physician Assistant (Certified)

Dr. Juan Jimenez , MD

Neurological Surgery

NPI 1801992516

Doctor of Medicine (M.D.)

Dr. Shuja Sheikh , MD

Psychiatry & Neurology - Neurology

NPI 1811383755

Doctor of Medicine (M.D.)

Kristin Cyrier , NP-C

Nurse Practitioner - Family

NPI 1922571397

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location January 23, 2024

Registered at 375 N WALL ST STE 530, KANKAKEE, IL 609013483 (Tel: 8159327200)

📍
Updated Business Mailing Address January 23, 2024

Registered at 375 N WALL ST STE 530, KANKAKEE, IL 609013483 (Tel: 8159327200)

NPI Profile Active February 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2017

Registered at 3535 OLENTANGY RIVER RD, COLUMBUS, OH 432143908 (Tel: 6145664579)

📍
Updated Business Mailing Address February 03, 2017

Registered at 5400 FRANTZ RD, SUITE 250, DUBLIN, OH 430164144

👤
Provider Name / Credentials Updated February 03, 2017

Recorded as KATELYN RUGINO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2017

Physician Assistant (License #50.004856RX in OH)

NPI Profile Active August 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2016

Registered at 3535 OLENTANGY RIVER RD, COLUMBUS, OH 432143908 (Tel: 6145664579)

📍
Updated Business Mailing Address August 17, 2016

Registered at 5400 FRANTZ RD, SUITE 250, DUBLIN, OH 430164144

👤
Provider Name / Credentials Updated August 17, 2016

Recorded as KATELYN RUGINO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2016

Physician Assistant (License #MA055349 in PA)

🟢
Initial NPI Registration & Enumeration December 15, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669741997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2011
Last Update: January 23, 2024
Sole Proprietor: No

Mailing Address

375 N Wall St Ste 530

Kankakee, IL 609013483

Phone: 8159327200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.