Individual provider Active NPI

Kristin Rose Lucente, APN-CNP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1043778731
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277003854 Issued in IL
Practice address
1460 N Halsted St
Chicago, IL 60642-2605
Phone
(847) 618-3590
Fax
(847) 618-0305
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 277003854 IL
Durable Medical Equipment & Medical Supplies 332B00000X
Family Nurse Practitioner 363LF0000X 277003854 IL
Nurse Practitioner 363L00000X 277003854 IL Primary

Addresses

Primary practice location

1460 N Halsted St
Chicago, IL 60642-2605

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Other practice location 1

1044 N Francisco Ave Ste 404
Chicago, IL 60622-2743
Phone (773) 868-6824

Other names 1

  • Kristin Rose Nelson 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
I20250819000615 IL Practitioner - Nurse Practitioner 2365779493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1460 N Halsted St
Suite 501
Chicago, IL 60642-2615
Phone (847) 618-3590

2150 Pfingsten Rd
Glenview, IL 60026-1326

2650 Ridge Ave
Evanston, IL 60201-1700

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Diamond Headache Clinic LTD Past Accepting new patients

Locations

1051 W Rand Rd
Ste 210
Arlington Heights, IL 60004
Phone (847) 725-8401

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

9532 Eagle Way
Chicago, IL 60678

1044 N Francisco Ave
Ste 404
Chicago, IL 60622
Phone 7738686824101

1460 N Halsted St
Ste 501
Chicago, IL 60642
Phone (312) 878-5558

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

Interoperability endpoints

  • Direct secure messaging: knelson207445@direct.nch.org

Organizations & group practices 3

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 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": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1043778731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422605",
            "telephone_number": "847-618-3590",
            "fax_number": "847-618-0305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 N Francisco Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606222743",
            "country_code": "US",
            "telephone_number": "773-868-6824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCENTE",
        "first_name": "KRISTIN",
        "middle_name": "ROSE",
        "credential": "APN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "277003854",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277003854",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277003854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "NELSON",
            "middle_name": "ROSE",
            "credential": "APN-CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.