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

Kathleen Marie Hendricks, APN

Individual provider Family Nurse Practitioner · NPI 1205312790

Kathleen Marie Hendricks, APN is a Nurse Practitioner in Peoria, Illinois. Qualified in 2018, 8 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

2809 W Willow Knolls Dr
Peoria, IL 61614
Phone: (309) 692-6604
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209017970 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 041.415297 (IL)

Record details

NPI number1205312790
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedJuly 17, 2018
Last updated in NPPESNovember 9, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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