Individual provider Active NPI

Krys Elan Cagas

  • Family Nurse Practitioner
  • Northbrook, IL
National Provider Identifier
1346746591
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.017230 Issued in IL
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

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180604002727 IL Practitioner - Nurse Practitioner 6901161488 Reassigns benefits to 4 organizations

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
First Docs PCGroup PAC ID 0547626871, 181 clinicians
Lake County Acute Care LLPGroup PAC ID 5395747281, 17 clinicians

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

LicenseStateTypeSpecialty
041.387249ILMDRegistered Nurse
209.017230ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Acute Care, LLP CurrentSince Apr 12, 2020 Accepting new patients
Lake County Acute Care, LLP Current Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Dec 1, 2020 Accepting new patients
First Docs PC CurrentSince Sep 20, 2024 Accepting new patients
Advanced Internal Medicine Associates Inc CurrentSince Apr 9, 2018 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.