Katherine Rose Ford, CRNA
Certified Registered Nurse Anesthetist · Mendota, IL
Katherine Rose Ford, CRNA is a certified registered nurse anesthetist with a practice address in Mendota, Illinois, and NPI 1073869475, issued on Aug 3, 2012. Check the license (Illinois 041.328911, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Katherine Rose Ford
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License numbers
- 041.328911 IL
209-009634 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1401 E 12TH St, Mendota, IL 61342
- Phone
- (815) 343-1925
- Enumerated
- Aug 3, 2012
- Record last updated
- Mar 4, 2025
- Medicare enrollment
- Enrolled (PECOS I20121228000336); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 1401 E 12TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Richard BakerCertified Registered Nurse Anesthetist1376879122
- Reid Baltikauski, DPTPhysical Therapist1629404157
- Sara Burd, DPTPhysical Medicine & Rehabilitation Physician1003502733
- Franklin Duro, PTPhysical Therapist1457616559
- Marissa Gatza, C.O.T.A.Occupational Therapy Assistant1922457118
- Kristi Gonzales, PA-CPhysician Assistant1659772242
Verify Katherine Rose Ford in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 041.328911Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $15.01
1 payment: food and beverage; the largest payer was Xeris Pharmaceuticals, Inc. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Osf Multi-Specialty GroupOttawa, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
3 certified registered nurse anesthetist records list a practice address in Mendota
They are 3 of the 62 NPPES records with a practice address in Mendota, and 2,444 certified registered nurse anesthetist records in Illinois.
All 3 in Mendota → All 2,444 in Illinois → Every provider in Mendota →
Other certified registered nurse anesthetist records in Illinois
- Susan Aardema-Coughlin, APRN, CRNAKankakee, IL1891736518
- Michael Abaca, CRNADecatur, IL1457373706
- Francisco AbancoChicago, IL1255844288
- Ma. Theresa Abaring, CRNAChicago, IL1962647586
- Maria Abay, CRNAHuntley, IL1114013075
- Allison AbbottChicago, IL1720446594
- Tammy Abbott Herubin, CRNAPeoria, IL1184665796
- Joseph Abraham, CRNAOak Lawn, IL1831653401
- Mohammad Abusaoud, RNOrland Hills, IL1225757750
- Christopher Adams, CRNADekalb, IL1326182635
Common questions
What is Katherine Rose Ford, CRNA's NPI number?
Katherine Rose Ford, CRNA's National Provider Identifier (NPI) is 1073869475, issued on Aug 3, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Katherine Rose Ford, CRNA located?
The NPPES record lists a practice address at 1401 E 12TH St, Mendota, IL, 61342. Phone: (815) 343-1925. Providers update this record themselves, so call before visiting.
How can I verify Katherine Rose Ford, CRNA's license?
NPPES lists Illinois license number 041.328911, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.