Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katelyn Nieman, NP

Individual provider Gerontology Nurse Practitioner · NPI 1083319115

Katelyn Nieman, NP is a Nurse Practitioner in Burr Ridge, Illinois. Qualified in 2022, 4 years ago. Practices with Vpa PC, a 182-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864
Phone: (414) 255-0340
Fax: (855) 342-0199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 13642-33 (WI)

Record details

NPI number1083319115
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing addressPo Box 40412, Belfast, ME 04915-1255

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Vpa Pc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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