Individual provider Active NPI

Kristen Klett Tosaw, FNP-C

  • Nurse Practitioner
  • Barrington, IL
National Provider Identifier
1174917769
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209012615 Issued in IL
Practice address
405 Lake Zurich Rd
Barrington, IL 60010-3141
Phone
(844) 656-8763
Fax
(847) 381-5607
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209012615 IL Primary

Addresses

Primary practice location

405 Lake Zurich Rd
Barrington, IL 60010-3141

Mailing address

405 Lake Zurich Rd
Barrington, IL 60010-3141
Phone (312) 438-5156

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
I20150526000609 IL Practitioner - Nurse Practitioner 0345560850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hpa Medical Management LLCGroup PAC ID 3274877105, 16 clinicians

Practice addresses (Care Compare)

405 Lake Zurich Rd
Suite 100
Barrington, IL 60010-3141
Phone (847) 381-5599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209012615ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hpa Medical Management, LLC CurrentSince Jul 6, 2024 Accepting new patients
Hpa Medical Management, LLC CurrentSince Jul 6, 2024 Accepting new patients

Locations

405 Lake Zurich Rd
Ste 100
Barrington, IL 60010
Phone (847) 381-5599

1717 Deerfield Rd
Ste 101
Deerfield, IL 60015
Phone (224) 754-2935

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

6303 Cowboys Way
Ste 600
Frisco, TX 75034

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1174917769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LAKE ZURICH RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103141",
            "telephone_number": "312-438-5156",
            "fax_number": "847-381-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LAKE ZURICH RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103141",
            "telephone_number": "844-656-8763",
            "fax_number": "847-381-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOSAW",
        "first_name": "KRISTEN",
        "middle_name": "KLETT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209012615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.