Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katie Michelle O'Halloran, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1104427293

Katie Michelle O'Halloran, FNP-BC is a Nurse Practitioner in Mattoon, Illinois. Qualified in 2020, 6 years ago. Practices with Sarah Bush Lincoln Health Center, a 410-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone: (217) 238-4960
Fax: (217) 238-4951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209022108 (IL)

Record details

NPI number1104427293
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sarah Bush Lincoln Health Center — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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