KATHERINE ELISABETH PETERS PA-C
NPI 1710690623
Physician Assistant - Surgical in Skokie, IL

NPI Status: Active since January 05, 2023

Contact Information

9650 GROSS POINT RD STE 3900
SKOKIE, IL
ZIP 60076
Phone: (847) 570-1700
Fax: (847) 982-1098

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  • Individual
  • Female
  • Years of Experience 3
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KATHERINE PETERS

This page provides the complete NPI Profile along with additional information for Katherine Peters, a provider established in Skokie, Illinois with a medical specialization in Physician Assistant, focusing in surgical and more than 3 years of experience. She graduated from Saint Louis University School Of Medicine in 2023. The healthcare provider is registered in the NPI registry with number 1710690623 assigned on January 2023. The practitioner's primary taxonomy code is 363AS0400X with license number 085.010294 (IL). The provider is registered as an individual and her NPI record was last updated March 2025.

NPI
1710690623
Provider Name
KATHERINE ELISABETH PETERS PA-C
Gender
Female
Entity Type
Individual
Location Address
9650 GROSS POINT RD STE 3900 SKOKIE, IL 60076
Location Phone
(847) 570-1700
Location Fax
(847) 982-1098
Mailing Address
9650 GROSS POINT RD STE 3900 SKOKIE, IL 60076
Mailing Phone
(847) 570-1700
Mailing Fax
(847) 982-1098
Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2023
Is Sole Proprietor?
No
Enumeration Date
01-05-2023
Last Update Date
03-31-2025
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Location Map

Secondary Locations

  • 3437 Caroline St
    Saint Louis, MO 63104
    (314) 977-8641

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
085.010294
License State
IL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

085.010294 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Katherine Peters is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Katherine Peters is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6800235052

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240419002816

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Katherine Peters is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL2650 RIDGE AVE
EVANSTON, IL 60201
(847) 432-8000Acute Care Hospitals

Reviews for KATHERINE ELISABETH PETERS PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710690623
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720129064
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 2 + 9 + 0 + 6 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1710690623 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801248422 KRISTHINE FIDEL NAGUE APN
Individual
Clinical Nurse Specialist (Family Health)9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 657-1900
1891015079DR. JUSTIN DANIEL SOBINSKY
Individual
Surgery9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 570-1700
1750537817 CHETHRA KALA MUTHIAH M.D.
Individual
Internal Medicine (Infectious Disease)9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 657-5959
1841599255DR. SONIA DUTTA MD
Individual
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(224) 251-2374
1700814126 ANNA M. BONADONNA MD
Individual
Obstetrics & Gynecology (Gynecology)9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 677-1400
1508398397MRS. MICHELLE BUSCEMI APN-CNM
Individual
Advanced Practice Midwife9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(224) 251-2374
1659478535DR. JOSEPH S KOKOSZKA MD
Individual
Surgery9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 570-1700
1679109789 ALYSSA TUNISON
Individual
Physician Assistant9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 570-1700
1851366744 CHARLES C WANG MD
Individual
Psychiatry & Neurology (Neurology)9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 570-2570
1366408957 MARGARET ANNE SALAMON MD
Individual
Obstetrics & Gynecology (Gynecology)9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 677-1400
1588678692 PHILIP THEODOROPOULOS M.D.
Individual
Surgery9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 570-1700
1194821843 FRANK F. TU MD, MPH
Individual
Obstetrics & Gynecology (Gynecology)9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 926-6544
1164519930 SANGEETA SENAPATI MD
Individual
Obstetrics & Gynecology (Gynecology)9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 926-6544
1851549067 JUSTIN BRIAN GAN M.D.
Individual
Internal Medicine9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 570-2503
1033745948 AARON GORE
Individual
Physician Assistant9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 570-1700
1912945692DR. MEGAN MARIE SHANKS M.D.
Individual
Psychiatry & Neurology (Neurology)9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 357-2570
1023401460MR. PETER JAE HO HWANG DO
Individual
Surgery9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 570-1700
1558621268DR. ANA MARIA VELEZ-ROSBOROUGH M.D.
Individual
Surgery9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 570-1700
1467781484MR. JEFFREY M SOLOTOROFF L.C.S.W.
Individual
Social Worker (Clinical)9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
(847) 503-2065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710690623, enumerated in the NPI registry as an "individual" on January 05, 2023

The provider is located at 9650 Gross Point Rd Ste 3900 Skokie, Il 60076 and the phone number is (847) 570-1700

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider has more than 3 years of experience. She graduated from Saint Louis University School Of Medicine in 2023.

The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on January 05, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.