Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174150726 Individual Practitioner Female Practitioner

Katy Helene Wine , MSN, FNP-C

Nurse Practitioner • Shiloh, IL

Professional Overview & Biography Verified Profile Summary

Katy Wine, MSN, FNP-C is a registered healthcare professional specializing in Nurse Practitioner in Shiloh, IL. Practice services are available at 1414 CROSS ST STE 240 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1414 Cross St Ste 240

Shiloh, IL 622692941

Telephone 6182342390
Fax 6182349936
Associated Practice Facility / Clinic
🏢 Ob Practice, Llc Facility NPI 1437672771

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Shiloh, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Shiloh, IL (4929 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209018627

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MO 2019001390

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MO 2019001390

Definition to come...

Secondary Practice Locations

1 Parkview Pl

Saint Louis, MO 631101038

Phone: 3141182566

Practice Associates & Co-Workers

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

13 Associated Practitioners
Cindy Auld , FNP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1003873647

Family Nurse Practitioner

Dr. Bethany Kette , MD

Obstetrics & Gynecology

NPI 1225666118

Doctor of Medicine (M.D.)

Sarah Pringle , CNP

Advanced Practice Midwife

NPI 1285879882

Certified Nurse Practitioner

Dr. Bertram Drury , MD

Obstetrics & Gynecology

NPI 1366822918

Doctor of Medicine (M.D.)

Haley St Peters , CNM

Advanced Practice Midwife

NPI 1417771536

Certified Nurse Midwife

Suzanna Sanchez

Advanced Practice Midwife

NPI 1437072626

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 10, 2024

Registered at 1414 CROSS ST STE 240, SHILOH, IL 622692941 (Tel: 6182342390)

📍
Updated Business Mailing Address April 10, 2024

Registered at 660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 631418512 (Tel: 3144483791)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2024

Nurse Practitioner (License #2019001390 in MO)

NPI Profile Active March 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2020

Registered at 1 PARKVIEW PL, SAINT LOUIS, MO 631101038 (Tel: 3141182566)

📍
Updated Business Mailing Address March 24, 2020

Registered at 1 PARKVIEW PL, SAINT LOUIS, MO 631101038

👤
Provider Name / Credentials Updated March 24, 2020

Recorded as KATY WINE, MSN, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2020

Nurse Practitioner (License #2019001390 in MO)

🟢
Initial NPI Registration & Enumeration March 24, 2020

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: 1174150726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2020
Last Update: April 10, 2024
Sole Proprietor: No

Mailing Address

660 Mason Ridge Center Dr Ste 300

Saint Louis, MO 631418512

Phone: 3144483791

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.