Individual provider Active NPI

Kayla Danielle Richert, NP

  • Family Nurse Practitioner
  • Chicago Ridge, IL
National Provider Identifier
1124893896
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.028568 Issued in IL
Practice address
10604 Southwest Hwy Ste 107
Chicago Ridge, IL 60415-2717
Phone
(708) 422-0636
NPI assigned
Nov 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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 209.028568 IL Primary

Addresses

Primary practice location

10604 Southwest Hwy Ste 107
Chicago Ridge, IL 60415-2717

Mailing address

6910 Creekside Rd
Downers Grove, IL 60516-3433
Phone (708) 308-5480

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
I20250924000177 IL Practitioner - Nurse Practitioner 8022513860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relief Urgent Care LLCGroup PAC ID 9032653779, 6 clinicians

Practice addresses (Care Compare)

15345 S la Grange Rd
Orland Park, IL 60462-3712
Phone (708) 400-8881

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.028568ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Relief Urgent Care LLC CurrentSince Aug 11, 2025 Accepting new patients
Pulmonary Consultants, SC PastSince Nov 26, 2023 Accepting new patients
Midwest Pulmonary Critical Care & Sleep Consultants LLC PastSince Nov 26, 2023 Accepting new patients

Locations

15345 S La Grange Rd
Orland Park, IL 60462
Phone (708) 400-8881

15345 S La Grange Rd
Ste 102
Orland Park, IL 60462

Organizations & group practices 4

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": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1124893896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 CREEKSIDE RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163433",
            "telephone_number": "708-308-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10604 SOUTHWEST HWY STE 107",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152717",
            "telephone_number": "708-422-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHERT",
        "first_name": "KAYLA",
        "middle_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.028568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

Verify at the official NPI Registry.