Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Ellingson, AG-ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1881259943

Katherine Ellingson, AG-ACNP-BC is a Nurse Practitioner in Peoria, Illinois. Graduated from Saint Louis University School of Medicine in 2018, 8 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Trained at
Saint Louis University School of Medicine
Licensed in
IL
In the registry since
2019
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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 209.019388 (IL)

Record details

NPI number1881259943
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP-BC
Sole proprietorNo
NPI enumeratedMay 4, 2019
Last updated in NPPESMay 4, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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