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Active NPI 1174093009 Individual Practitioner Female Practitioner

Katelyn M Johnson , APN, CNP

Nurse Practitioner • Peoria, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Katelyn Johnson, APN, CNP is a certified Nurse Practitioner practicing in Peoria, IL. With approximately 8 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 2018, Katelyn Johnson delivers high-quality medical care to the local community at 200 E PENNSYLVANIA AVE.

Katelyn Johnson is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;, new 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

200 E Pennsylvania Ave

Peoria, IL 616033089

Telephone 3096244000
Fax 3096244010
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Peoria, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -2.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
182 Specialists

Practicing in Peoria, IL (4929 Statewide)

Telehealth Adoption Rate
29.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
69.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (8 Years) 8 Yrs
Peoria Specialty Average (10.1 Years) 10.1 Yrs

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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
102 66 $413.00 $144.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
59 47 $413.00 $118.63
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
29 20 $117.00 $25.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
28 23 $294.00 $104.23
99213 Established patient office or other outpatient visit, typically 15 minutes
24 18 $208.00 $73.81
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
23 18 $117.00 $25.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
14 14 $560.00 $150.13

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209018151

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

200 E Pennsylvania Ave, Peoria, IL 616033089

Phone: 3096244000

Practice Associates & Co-Workers

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

39 Associated Practitioners
Dr. Douglas Juvinall , MD

Psychiatry & Neurology - Neurology

NPI 1023436995

Doctor of Medicine (M.D.)

NPI 1033604855

Doctor of Audiology

Evanne Ihnken , PA-C

Physician Assistant

NPI 1063872836

Physician Assistant (Certified)

Dr. Kavya Moravineni , MD

Psychiatry & Neurology - Neurology

NPI 1073993358

Doctor of Medicine (M.D.)

Loan Nguyen , APN, CNP

Nurse Practitioner

NPI 1093298127

Advanced Practice Nurse, Certified Nurse Practitioner

Lisa Flier , APN

Nurse Practitioner - Acute Care

NPI 1093902744

Advanced Practice Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2018

Registered at 200 E PENNSYLVANIA AVE, PEORIA, IL 616033089 (Tel: 3096244000)

📍
Updated Business Mailing Address December 04, 2018

Registered at 200 E PENNSYLVANIA AVE, PEORIA, IL 616033089 (Tel: 3096244000)

👤
Provider Name / Credentials Updated December 04, 2018

Recorded as KATELYN JOHNSON, APN, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2018

Nurse Practitioner (License #209018151 in IL)

🟢
Initial NPI Registration & Enumeration December 04, 2018

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: 1174093009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2018
Last Update: December 04, 2018
Sole Proprietor: No

Mailing Address

200 E Pennsylvania Ave

Peoria, IL 616033089

Phone: 3096244000

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.