Individual provider Active NPI

Krina Patel, MSN, APN, FNP-BC

  • Family Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1023407434
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012223 Issued in IL
Practice address
1309 Macom Dr Ste 101
Naperville, IL 60564
Phone
(630) 236-8018
Fax
(630) 236-8949
NPI assigned
Jan 22, 2015
Last updated
May 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209012223 IL Primary
Registered Nurse 163W00000X 041383699 IL

Addresses

Primary practice location

1309 Macom Dr Ste 101
Naperville, IL 60564

Mailing address

1309 Macom Dr Ste 101
Naperville, IL 60564-3202
Phone (630) 236-8018

Other practice location 1

1851 Douglas Rd
Montgomery, IL 60538-2159
Phone (630) 844-9900

Other practice location 2

1851 Douglas Rd
Montgomery, IL 60538-2159
Phone (630) 844-9900

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
I20150316001531 IL Practitioner - Nurse Practitioner 4385961119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jigar Thakkar MD SCGroup PAC ID 1052584125, 4 clinicians

Practice addresses (Care Compare)

1309 Macom Dr
Suite 101
Naperville, IL 60564-3206
Phone (630) 236-8018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
041383699ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jigar Thakkar MD SC CurrentSince Jul 1, 2016 Accepting new patients
Kurt Warkenthien SC Past Accepting new patients

Locations

1309 Macom Dr
Ste 101
Naperville, IL 60564
Phone (630) 236-8018

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1023407434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 MACOM DR STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605643202",
            "telephone_number": "630-236-8018",
            "fax_number": "630-236-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 MACOM DR STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-236-8018",
            "fax_number": "630-236-8949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 Douglas Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "IL",
            "postal_code": "605382159",
            "country_code": "US",
            "telephone_number": "630-844-9900",
            "fax_number": "630-844-9990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1851 Douglas Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "IL",
            "postal_code": "605382159",
            "country_code": "US",
            "telephone_number": "630-844-9900",
            "fax_number": "630-844-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRINA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012223",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041383699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.