Active NPI
Kathryn E Vela, GNP
- Nurse Practitioner
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209019306
- Practice address
- 12251 S 80TH Ave Ste 1520
Palos Heights, IL 60463-1290 - Phone
- (708) 923-4200
- Fax
- (708) 923-4201
- NPI assigned
- Jan 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 209019306 | IL | |
| Nurse Practitioner | 363L00000X | 209019306 | IL | Primary |
Addresses
Primary practice location
12251 S 80TH Ave Ste 1520
Palos Heights, IL 60463-1290
Mailing address
12251 S 80TH Ave Ste 1520
Palos Heights, IL 60463-1290
Phone (708) 923-4200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12251 S 80TH Ave
Suite 1520
Palos Heights, IL 60463-1290
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 70.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Cira Michigan PC | Past | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
21202 Owens Rd
Ste 201
Mokena, IL 60448
Phone (779) 334-0010
12251 S 80th Ave
Ste 1520
Palos Heights, IL 60463
Phone (708) 923-3936
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
Organizations & group practices 6
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.
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Diagnostic Radiology Physician
- Escanaba, MI
- NPI 1972141513
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1043558265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE STE 1520",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631290",
"telephone_number": "708-923-4200",
"fax_number": "708-923-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE STE 1520",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631290",
"telephone_number": "708-923-4200",
"fax_number": "708-923-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELA",
"first_name": "KATHRYN",
"middle_name": "E",
"credential": "GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-23",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "209019306",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209019306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.