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

Katherine Lyn Dorwaldt

Individual provider Registered Nurse · NPI 1386100295

Katherine Lyn Dorwaldt is a Nurse Practitioner in Freeport, Illinois. Qualified in 2022, 4 years ago. Practices with Rockford Psychiatric Medical Services SC, a 151-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

133 N Sunset Ave
Freeport, IL 61032-3752
Phone: (815) 347-0884
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209.026811 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041467898 (IL)

Record details

NPI number1386100295
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2019
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023

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 Rockford Psychiatric Medical Services Sc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Freeport