Individual provider Active NPI

Kristen M Zelek, NP

  • Family Nurse Practitioner
  • Mokena, IL
National Provider Identifier
1356857890
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.016891 Issued in IL
Practice address
11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone
(866) 389-2727
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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 209016891 IL
Family Nurse Practitioner 363LF0000X 209.016891 IL Primary

Addresses

Primary practice location

11200 Lincoln Hwy
Mokena, IL 60448-8208

Mailing address

11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone (866) 389-2727

Other practice location 1

40 W 75 Street
Willowbrook, IL 60527-2325
Phone (630) 581-5372

Other practice location 2

12200 Western Ave
100
Blue Island, IL 60406-1399
Phone (708) 631-2781

Other practice location 3

9551 171st St
Tinley Park, IL 60487-6109
Phone (708) 873-0062

Other identifiers 1

IdentifierTypeStateIssuer
1356857890MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cvs.com/minuteclinic/?cid=ps_mc&gclid=Cj0KCQjwvO2IBhCzARIsALw3ASqwbTL2134mDtamDjWJdzmfZh

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
I20180208000000 IL Practitioner - Nurse Practitioner 0840550018 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Primary Care Illinois PLLCGroup PAC ID 7416471842, 102 clinicians
Minuteclinic Diagnostic of Illinois PLLCGroup PAC ID 8729171566, 106 clinicians

Practice addresses (Care Compare)

11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.016891ILMDFamily Nurse Practitioner
209016891ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Sep 16, 2021 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Dec 3, 2017 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Dec 3, 2017 Accepting new patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Apr 15, 2025 Accepting new patients
The Methodist Hospitals, Inc PastSince May 20, 2018 Accepting new patients

Locations

2211 S Eola Rd
Aurora, IL 60503
Phone (630) 499-4391

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

12200 Western Ave
Ste 100
Blue Island, IL 60406
Phone (708) 631-2781

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

3637 N Southport Ave
Chicago, IL 60613
Phone (773) 347-5282

11200 Lincoln Hwy
Mokena, IL 60448
Phone (815) 464-2171

2050 Nelson Rd
New Lenox, IL 60451
Phone (815) 463-5281

936 Willow Rd
Northbrook, IL 60062
Phone (847) 209-3814

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

9551 171st St
Tinley Park, IL 60487
Phone (708) 873-0062

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1356857890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 LINCOLN HWY",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488208",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 LINCOLN HWY",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488208",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 W 75 Street",
            "address_purpose": "LOCATION",
            "city": "Willowbrook",
            "state": "IL",
            "postal_code": "605272325",
            "country_code": "US",
            "telephone_number": "630-581-5372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Western Ave",
            "address_2": "100",
            "address_purpose": "LOCATION",
            "city": "Blue Island",
            "state": "IL",
            "postal_code": "604061399",
            "country_code": "US",
            "telephone_number": "708-631-2781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9551 171st St",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604876109",
            "country_code": "US",
            "telephone_number": "708-873-0062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELEK",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016891",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.016891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356857890",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cvs.com/minuteclinic/?cid=ps_mc&gclid=Cj0KCQjwvO2IBhCzARIsALw3ASqwbTL2134mDtamDjWJdzmfZh",
            "affiliation": "N",
            "address_1": "9551 171st St",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604876109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.