Individual provider Active NPI

Tiffany J Kalita, FPA, APRN, FNP-BC

  • Nurse Practitioner
  • St Charles, IL
National Provider Identifier
1093142754
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277000491 Issued in IL
Practice address
2900 Foxfield Rd Ste 100
St Charles, IL 60174-5799
Phone
(630) 377-6500
Fax
(630) 377-6577
NPI assigned
Sep 26, 2013
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277000491 IL Primary
Family Nurse Practitioner 363LF0000X 209010752 IL

Addresses

Primary practice location

2900 Foxfield Rd Ste 100
St Charles, IL 60174-5799

Mailing address

2900 Foxfield Rd Ste 100
St Charles, IL 60174-5799
Phone (630) 377-6500

Other names 1

  • Mrs. Tiffany J Farrell 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
I20140326002390 IL Practitioner - Nurse Practitioner 5193956613 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Commerce Dr
Oak Brook, IL 60523-8865

233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone (630) 358-4414

235 S Gary Ave
Suite 100
Bloomingdale, IL 60108-2213
Phone (630) 893-9600

2635 Church Rd
Suite 101
Aurora, IL 60502-8943
Phone (630) 315-6900

2900 Foxfield Rd
Suite 100
St Charles, IL 60174-5799
Phone (630) 377-6500

636 Raymond Dr
Suite 107
Naperville, IL 60563-9789
Phone (630) 416-2300

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

7 Blanchard Cir
Wheaton, IL 60189-2038

820 Route 59
Barlett, IL 60103-1694
Phone (630) 213-9600

820 S Il Route 59
Suite 320
Bartlett, IL 60103-1694
Phone (630) 225-2663

885 Roosevelt Rd
Glen Ellyn, IL 60137-6141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Jun 5, 2017 Accepting new patients
American Current Care of Illinois PC CurrentSince Jan 3, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Feb 6, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Feb 6, 2023 Accepting new patients
A Plus Healthcare Management LLC Nurse Practitioner Current Accepting new patients
E Mediate Cure LLC CurrentSince Dec 16, 2019 Accepting new patients
Vain Estetica & Well-Being PLLC Nurse Practitioner Current Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

2853 Kirk Rd
Aurora, IL 60502
Phone (630) 423-3030

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 713-2717

1039 Brook Forest Ave
Shorewood, IL 60404
Phone (815) 681-7733

2900 Foxfield Rd
Ste 100
St Charles, IL 60174
Phone (630) 377-6500

Organizations & group practices 8

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1093142754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FOXFIELD RD STE 100",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601745799",
            "telephone_number": "630-377-6500",
            "fax_number": "630-377-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FOXFIELD RD STE 100",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601745799",
            "telephone_number": "630-377-6500",
            "fax_number": "630-377-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALITA",
        "first_name": "TIFFANY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "FPA, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277000491",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "FARRELL",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "FPA, APRN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.