Individual provider Active NPI

Kathryn McCarthy, APN

  • Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1235535790
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209011248 Issued in IL
Practice address
9650 Gross Point Rd Ste 3900
Skokie, IL 60076-5085
Phone
(847) 677-1400
Fax
(847) 933-3531
NPI assigned
Nov 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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 209.011248 IL
Nurse Practitioner 363L00000X 209011248 IL Primary

Addresses

Primary practice location

9650 Gross Point Rd Ste 3900
Skokie, IL 60076-5085

Mailing address

9650 Gross Point Rd Ste 3900
Skokie, IL 60076-5085
Phone (847) 677-1400

Other practice location 1

3245 N Halsted St
Chicago, IL 60657-3419
Phone (773) 296-8400

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
I20150130001385 IL Practitioner - Nurse Practitioner 1951625516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

9650 Gross Point Rd
Suite 3900
Skokie, IL 60076-5085
Phone (224) 251-3063

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209011248ILMDNurse Practitioner
209.011248ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Brown Health Center CurrentSince Jan 1, 2015 Accepting new patients
Howard Brown Health Center CurrentSince Jan 1, 2015 Accepting new patients
Rush University Medical Group CurrentSince Nov 1, 2020 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 9, 2020 Accepting new patients
Howard Brown Health Center Current Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 9, 2020 Accepting new patients
Howard Brown Health Center Past Accepting new patients

Locations

1645 W Jackson Blvd
Chicago, IL 60612
Phone (312) 942-2200

3245 N Halsted St
Chicago, IL 60657
Phone (773) 296-8400

4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1800

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1645 W Jackson Blvd
Ste 310
Chicago, IL 60612
Phone (312) 850-7798

9532 Eagle Way
Chicago, IL 60678

75 Remittance Dr
Dept 1611
Chicago, IL 60675

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

9650 Gross Point Rd
Ste 3900
Skokie, IL 60076
Phone (224) 251-2374

9650 Gross Point Rd
Skokie, IL 60076
Phone (224) 251-1160

Interoperability endpoints

  • Direct secure messaging: kmccarthy130850@direct.rush.rush-health.com

Organizations & group practices 7

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 1

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": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1235535790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 GROSS POINT RD STE 3900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600765085",
            "telephone_number": "847-677-1400",
            "fax_number": "847-933-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 GROSS POINT RD STE 3900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600765085",
            "telephone_number": "847-677-1400",
            "fax_number": "847-933-3531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3245 N Halsted St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573419",
            "country_code": "US",
            "telephone_number": "773-296-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "KATHRYN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011248",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209011248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.