Individual provider Active NPI

Abigail Kristine Clarin Usita

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1174382378
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.010678 Issued in IL
Practice address
2823 W Belmont Ave Apt 414
Chicago, IL 60618-5890
Phone
(408) 966-9035
NPI assigned
Mar 18, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 085.010678 IL Primary

Addresses

Primary practice location

2823 W Belmont Ave Apt 414
Chicago, IL 60618-5890

Mailing address

2823 W Belmont Ave Apt 414
Chicago, IL 60618-5890
Phone (408) 966-9035

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
I20241120003290 IL Practitioner - Physician Assistant 3476088964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sigma Health PCGroup PAC ID 2961305693, 22 clinicians

Practice addresses (Care Compare)

10640 165TH St
Orland Park, IL 60467-8734

10640 W 165TH St
Orland Park, IL 60467-8734
Phone (708) 364-0261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.010678ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sigma Health PC CurrentSince Sep 19, 2025 Accepting new patients
Insight Chicago, Inc. CurrentSince Nov 1, 2024 Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

680 N Lake Shore Dr
Ste 1210
Chicago, IL 60611
Phone (312) 587-3765

10640 165th St
Orland Park, IL 60467

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1174382378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 W BELMONT AVE APT 414",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185890",
            "telephone_number": "408-966-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 W BELMONT AVE APT 414",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185890",
            "telephone_number": "408-966-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USITA",
        "first_name": "ABIGAIL KRISTINE",
        "middle_name": "CLARIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.010678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.