Individual provider Active NPI

Krista Hensley, FNP-C

  • Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1265977656
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.015250 Issued in IL
Practice address
133 E Brush Hill Rd Ste 310
Elmhurst, IL 60126-5662
Phone
(331) 221-9003
Fax
(331) 221-2743
NPI assigned
Dec 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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 209.015250 IL Primary

Addresses

Primary practice location

133 E Brush Hill Rd Ste 310
Elmhurst, IL 60126-5662

Mailing address

4201 Winfield Rd FL 4
Warrenville, IL 60555-4025
Phone (331) 221-6377

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khensley133061@direct.edward.org Direct

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
I20170201000096 IL Practitioner - Nurse Practitioner 7911289798 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.015250ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elmhurst Memorial Healthcare CurrentSince Mar 1, 2017 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Mar 1, 2017 Accepting new patients
Endeavor Health Medical Group PastSince Jun 22, 2021 Accepting new patients
Endeavor Health Medical Group PastSince Jun 22, 2021 Accepting new patients

Locations

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

133 E Brush Hill Rd
Ste 310
Elmhurst, IL 60126
Phone (331) 221-9003

4201 Winfield Rd
Fl 4
Warrenville, IL 60555

Organizations & group practices 4

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": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1265977656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WINFIELD RD FL 4",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554025",
            "telephone_number": "331-221-6377",
            "fax_number": "331-221-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 310",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265662",
            "telephone_number": "331-221-9003",
            "fax_number": "331-221-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "KRISTA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.015250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khensley133061@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "133 E Brush Hill Rd Ste 310",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601265662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.