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

Katie Nicole Owens, DNPACAGNP

Individual provider Gerontology Nurse Practitioner · NPI 1548094220

Katie Nicole Owens, DNPACAGNP is a Nurse Practitioner in Springfield, Illinois. Qualified in 2024, 2 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
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Practice location Address checks out

747 N Rutledge St Fl 4
Springfield, IL 62702-6700
Phone: (217) 545-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 N Rutledge St, Springfield, IL 62702-4933 — (217) 545-8000

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 209.030364 (IL)

Record details

NPI number1548094220
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPACAGNP
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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