Active NPI
Krys Elan Cagas
- Family Nurse Practitioner
- Northbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.017230
- Practice address
- 666 Dundee Rd Ste 802
Northbrook, IL 60062-2734 - Phone
- (847) 498-1515
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.387249 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209.017230 | IL | Primary |
Addresses
Primary practice location
666 Dundee Rd Ste 802
Northbrook, IL 60062-2734
Mailing address
114 Glenwood Dr
Round Lake Beach, IL 60073-2624
Other practice location 1
114 Glenwood Dr
Round Lake Beach, IL 60073-2624
Phone (773) 341-6873
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2773 Skokie Valley Rd
Highland Park, IL 60035-1042
Phone (609) 585-1122
6 E Phillip Rd
Vernon Hills, IL 60061-1700
Phone (847) 680-0500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.387249 | IL | MD | Registered Nurse |
| 209.017230 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake County Acute Care, LLP | Current | Accepting new patients | |
| Lake County Acute Care, LLP | Current | Accepting new patients | |
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients | |
| First Docs PC | Current | Accepting new patients | |
| Advanced Internal Medicine Associates Inc | Current | Accepting new patients |
Locations
150 W Half Day Rd
Buffalo Grove, IL 60089
Phone (847) 215-0000
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
2732 N Hampden Ct
Chicago, IL 60614
Phone (773) 248-6000
2773 Skokie Valley Rd
Highland Park, IL 60035
Phone (847) 266-9266
1525 Oxford Ln
Naperville, IL 60565
Phone (224) 441-7428
666 Dundee Rd
Ste 802
Northbrook, IL 60062
Phone (847) 498-1515
6 E Phillip Rd
Vernon Hills, IL 60061
Phone (847) 362-5353
200 Corporate Blvd
Lafayette, LA 70508
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1417655465
-
- Family Medicine Physician
- Gurnee, IL
- NPI 1861599052
-
- Clinic/Center
- Northbrook, IL
- NPI 1194026203
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
-
- Family Medicine Physician
- Buffalo Grove, IL
- NPI 1720185911
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Condell Imaging Center
- Mobile Mammography Clinic/Center
- Gurnee, IL
- NPI 1023262441
Hospital
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
dba Advocate Condell Medical Center Grays Lake
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1346746591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 GLENWOOD DR",
"city": "ROUND LAKE BEACH",
"state": "IL",
"postal_code": "600732624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "666 DUNDEE RD STE 802",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622734",
"telephone_number": "847-498-1515"
}
],
"practiceLocations": [
{
"address_1": "114 Glenwood Dr",
"address_purpose": "LOCATION",
"city": "Round Lake Beach",
"state": "IL",
"postal_code": "600732624",
"country_code": "US",
"telephone_number": "773-341-6873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAGAS",
"first_name": "KRYS ELAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.387249",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.017230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.