Individual provider Active NPI

Melissa Diane Kalensky, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1154681591
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209009269 Issued in IL
Practice address
1431 N Claremont Ave FL 2
Chicago, IL 60622-1702
Phone
(312) 491-5498
NPI assigned
May 19, 2012
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.009269 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209009269 IL Primary

Addresses

Primary practice location

1431 N Claremont Ave FL 2
Chicago, IL 60622-1702

Mailing address

213 N Racine Ave
Suite 100
Chicago, IL 60607-1644
Phone (312) 733-9730

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
I20150219002149 IL Practitioner - Nurse Practitioner 7618110511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glaser and Associates LLCGroup PAC ID 2365774718, 13 clinicians

Practice addresses (Care Compare)

1431 N Claremont
1St Floor Pavilion
Chicago, IL 60622
Phone (312) 491-5498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.009269ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glaser and Associates LLC CurrentSince Dec 24, 2021 Accepting new patients
Rush Oak Park ER Physicians Group CurrentSince May 7, 2018 Accepting new patients

Locations

1431 N Claremont Ave
Chicago, IL 60622
Phone (312) 491-5498

1431 N Claremont Ave
Fl 1
Chicago, IL 60622
Phone (312) 491-5498

1431 N Claremont Ave
Fl 2
Chicago, IL 60622
Phone (312) 493-9520

1431 N Western Ave
Ste 306
Chicago, IL 60622
Phone (312) 332-2226

75 Remittance Dr
Dept 1620
Chicago, IL 60675

6428 Joliet Rd
Ste 201
Countryside, IL 60525

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

Interoperability endpoints

  • Direct secure messaging: mkalensky142954@direct.rush.rush-health.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1154681591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N RACINE AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071644",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N CLAREMONT AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221702",
            "telephone_number": "312-491-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALENSKY",
        "first_name": "MELISSA",
        "middle_name": "DIANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-19",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.009269",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209009269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.