Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katie Genevieve Dcruz, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1124412168

Katie Genevieve Dcruz, AGNP-C is a Nurse Practitioner in Chicago, Illinois. Qualified in 2014, 12 years ago. Practices with Clear Practice PLLC, a 16-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
12
Licensed in
IL, MO
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

332 S Michigan Ave
Chicago, IL 60604-4434
Phone: (855) 229-2191
Fax: (312) 579-0467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7777 Bonhomme Ave Ste 1800, Clayton, MO 63105-1931 — (855) 229-2177

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 209012527 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2024044706 (MO)

Record details

NPI number1124412168
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedMarch 27, 2015
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Clear Practice Pllc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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