Individual provider Active NPI

Kristin Elise Kowaleski, APRN, CNP

  • Nurse Practitioner
  • Lake Forest, IL
National Provider Identifier
1003617796
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209034836 Issued in IL
Practice address
900 N Westmoreland Rd Ste 112
Lake Forest, IL 60045-1680
Phone
(847) 535-7057
Fax
(847) 615-2260
NPI assigned
Mar 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209034836 IL Primary
Women's Health Nurse Practitioner 363LW0102X APN.100006559-NP CO

Addresses

Primary practice location

900 N Westmoreland Rd Ste 112
Lake Forest, IL 60045-1680

Mailing address

900 N Westmoreland Rd Ste 112
Lake Forest, IL 60045-1680
Phone (847) 535-7057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260421000214 IL Practitioner - Nurse Practitioner 4981123825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Colorado School of Medicine, Aurora, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

900 N Westmoreland Rd
Lake Forest, IL 60045-1694

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.100006559-NPCOMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Obstetrics and Gynecology LLC CurrentSince May 1, 2025 Accepting new patients

Locations

1400 S Potomac St
Ste 225
Denver, CO 80012
Phone (303) 563-2782

10405 Martin Luther King Blvd
Ste 110
Denver, CO 80238
Phone (303) 320-7747

4500 E 9th Ave
Ste 615
Denver, CO 80220
Phone (303) 280-2229

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: kristin.kowaleski@hca3.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1003617796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD STE 112",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451680",
            "telephone_number": "847-535-7057",
            "fax_number": "847-615-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD STE 112",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451680",
            "telephone_number": "847-535-7057",
            "fax_number": "847-615-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALESKI",
        "first_name": "KRISTIN",
        "middle_name": "ELISE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209034836",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "APN.100006559-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.