Evelyn J Kammin, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209013986 Issued in IL

Practice address

700 E Ogden Ave
Suite 202
Westmont, IL 60559-5569

Phone

(630) 789-9785

Fax

(630) 789-9798

NPI assigned

May 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agha Medical IncGroup PAC ID 9739267055, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101
• Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
• Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110

Merit-based Incentive Payment System (MIPS)

Final score

20.61 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

68.71

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Agha Medical Inc

  • Pulmonary Disease Physician
  • Joliet, IL
  • NPI 1831360791
  Medicare reassignment Care Compare group NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Morris Hospital

  • General Acute Care Hospital
  • Morris, IL
  • NPI 1649370057
  Care Compare affiliation
• Ottawa Regional Hospital & Healthcare Center

  • General Acute Care Hospital
  • Peru, IL
  • NPI 1588713440
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • Rehabilitation Hospital Unit
  • New Lenox, IL
  • NPI 1003933797
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519
  Care Compare affiliation

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1174979264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE",
            "address_2": "SUITE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595569",
            "telephone_number": "630-789-9785",
            "fax_number": "630-789-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE",
            "address_2": "SUITE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595569",
            "telephone_number": "630-789-9785",
            "fax_number": "630-789-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMIN",
        "first_name": "EVELYN",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209013986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie L Kaczrowski, DPT
• Kakuma Dental P C
• Zeina Kalache, MD
• Kristin Kalivoda
• Katherine Kaminskas, PHARMD
• Juman Kanama
• Melissa Kane
• Gena Karston, LPC
• Kathryn L. Grady DDS, PC
• Laura Kavanaugh

• Nurse Practitioner in Westmont, IL
• Providers in Westmont, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.