Individual provider Active NPI

Kathleen Masella, R.N., AGNP-C

  • Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1043752918
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209015111 Issued in IL
Practice address
8930 Gross Point Rd Ste 700
Skokie, IL 60077-1864
Phone
(773) 296-5500
Fax
(773) 296-3800
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 209015111 IL Primary

Addresses

Primary practice location

8930 Gross Point Rd Ste 700
Skokie, IL 60077-1864

Mailing address

1101 S State St Apt 603
Chicago, IL 60605-3178
Phone (773) 230-8726

Other practice location 1

331 W Surf St Ste 807
Chicago, IL 60657-7227
Phone (773) 296-5500

Other names 1

  • Kathy Oday Former name

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
I20170321002636 IL Practitioner - Nurse Practitioner 5092090647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Head and Neck Cosmetic Surgery Associates LLCGroup PAC ID 2264476118, 22 clinicians

Practice addresses (Care Compare)

3340 Oak Park Ave
Suite 204
Berwyn, IL 60402-3483
Phone 70874930701415

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.015111ILMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Brown Health Center Current Accepting new patients
Howard Brown Health Center CurrentSince Nov 1, 2020 Accepting new patients
Howard Brown Health Center CurrentSince Nov 1, 2020 Accepting new patients
Head & Neck Cosmetic Surgery Associates LLC CurrentSince Aug 30, 2023 Accepting new patients
Presence Healthcare Services Past Accepting new patients
Howard Brown Health Center Past Accepting new patients
Thorek Memorial Hospital Past Accepting new patients

Locations

3340 Oak Park Ave
Ste 204
Berwyn, IL 60402
Phone (708) 749-3070

3000 N Halsted St
Ste 400
Chicago, IL 60657
Phone (773) 296-5500

4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1800

641 W 63rd St
Chicago, IL 60621
Phone (312) 413-4070

8930 Gross Point Rd
Ste 700
Skokie, IL 60077
Phone (847) 966-8930

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJABBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJABBA/Endpoint/JJABBA

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1043752918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S STATE ST APT 603",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053178",
            "telephone_number": "773-230-8726",
            "fax_number": "224-610-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 GROSS POINT RD STE 700",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771864",
            "telephone_number": "773-296-5500",
            "fax_number": "773-296-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 W Surf St Ste 807",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606577227",
            "country_code": "US",
            "telephone_number": "773-296-5500",
            "fax_number": "773-296-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASELLA",
        "first_name": "KATHLEEN",
        "credential": "R.N., AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "ODAY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.