Katrina Lee Basic, FNP-C, EMT-P
Individual provider Active NPI Family Nurse Practitioner · Chicago, IL
NPI 1043939747 · NPPES record last updated Apr 7, 2026
Key facts
- NPI
- 1043939747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.025190 (IL)
- Practice address
- 11009 S Saint Louis Ave
Chicago, IL 60655-3321 - Phone
- (773) 710-2569
- NPI assigned
- Aug 25, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lee Health System Inc
Foundation for Emergency Services
Practice addresses (Care Compare)
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606
326 W 64TH St
Chicago, IL 60621-3114
Phone (773) 962-3900
Hospital & facility affiliations
- St Bernard Hospital
- Lee Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240801003835 | IL | Practitioner - Nurse Practitioner | 2961949490 | Reassigns benefits to 2 organizations |
| I20251201002615 | FL | Practitioner - Nurse Practitioner | 2961949490 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Emergency Medical Technician - Paramedic
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000471490 | IL | MD | Paramedic |
| 41.420072 | IL | MD | Registered Nurse |
| 209.025190 | IL | MD | Family Nurse Practitioner |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current |
Accepting new patients | |
| Lee Health System Inc | Current |
Accepting new patients | |
| Foundation for Emergency Services | Current |
Accepting new patients | |
| Foundation for Outreach Services | Current |
Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- kbasic701624@direct.leememorial.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 41.420072 | IL | |
| Paramedic | 146L00000X | 000471490 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209.025190 | IL | Yes |
Addresses
Primary practice location
11009 S Saint Louis Ave
Chicago, IL 60655-3321
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-1614
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbasic701624@Direct.leememorial.org | Direct | LEE HEALTH SYSTEM INC |
Other providers in Chicago, IL
- Basheer Farooki, MD.SC
- Sundus Basheer
- Hassan Bashir
- Kanval Bashir
- Mohammad Waqas Bashir
- Alka Basil
- Amy Basinski-Long
- Ewelina Basisty
- Archit Bharathwaj Baskaran
- Dhanya Baskaran
All providers in Chicago, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.