Individual provider Active NPI

Michalene Kristine Skrzypczak, APRN-C

  • Gerontology Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1255161485
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209.030182 Issued in IL
Practice address
2437 N Kimball Ave
Chicago, IL 60647-2401
Phone
(773) 803-3192
NPI assigned
Aug 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209.030182 IL Primary

Addresses

Primary practice location

2437 N Kimball Ave
Chicago, IL 60647-2401

Mailing address

2437 N Kimball Ave
Chicago, IL 60647-2401
Phone (773) 803-3192

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
I20250408000901 IL Practitioner - Nurse Practitioner 6901320340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natarajan Medical Group of Illinois PCGroup PAC ID 8921259748, 14 clinicians

Practice addresses (Care Compare)

6400 Shafer CT
Suite 300
Rosemont, IL 60018-4929
Phone (847) 759-9449

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.030182ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Natarajan Medical Group of Illinois, PC CurrentSince Feb 3, 2025 Accepting new patients

Locations

606 Potter Rd
Des Plaines, IL 60016
Phone (800) 570-8809

6400 Shafer Ct
Ste 300
Rosemont, IL 60018
Phone (800) 570-8809

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

Organizations & group practices 1

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": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1255161485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 N KIMBALL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472401",
            "telephone_number": "773-803-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 N KIMBALL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472401",
            "telephone_number": "773-803-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRZYPCZAK",
        "first_name": "MICHALENE",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "APRN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.030182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.