Individual provider Active NPI

Anna Krok

  • Family Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1043679525
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013808 Issued in IL
Practice address
1710 N Randall Rd Ste 380
Elgin, IL 60123-9406
Phone
(847) 450-6057
NPI assigned
Feb 12, 2016
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209013808 IL Primary

Addresses

Primary practice location

1710 N Randall Rd Ste 380
Elgin, IL 60123-9406

Mailing address

1710 N Randall Rd
Elgin, IL 60123-9400

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
I20170320000189 IL Practitioner - Nurse Practitioner 3577848324 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1710 N Randall Rd
Suite 380
Elgin, IL 60123-9406
Phone (847) 450-6057

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Illinois Medical PC CurrentSince Jan 29, 2024 Accepting new patients
Premise Health of Illinois Medical PC Current Accepting new patients
Naveed H Elahi DC SC CurrentSince Mar 6, 2017 Accepting new patients
Center for Vein Restoration Il LLC CurrentSince Jul 1, 2020 Accepting new patients
Center for Vein Restoration Il LLC CurrentSince Jul 1, 2020 Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Jan 29, 2024 Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

6150 Joliet Rd
Countryside, IL 60525
Phone (708) 485-2273

1710 N Randall Rd
Ste 380
Elgin, IL 60123
Phone (847) 450-6057

4979 Indiana Ave
Lisle, IL 60532
Phone (312) 337-4150

5100 Lake Ter NE
Mount Vernon, IL 62864
Phone (618) 244-8793

7177 N Milwaukee Ave
Niles, IL 60714
Phone (630) 322-9126

1037 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 466-7392

236 E Irving Park Rd
Wood Dale, IL 60191
Phone (301) 982-2000

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1043679525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD STE 380",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239406",
            "telephone_number": "847-450-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROK",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.