Individual provider Active NPI

Christina Kassenbrock, FNP

  • Family Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1437781606
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.020138 Issued in IL
Practice address
420 Airport Rd Ste C
Elgin, IL 60123-9329
Phone
(847) 428-2273
NPI assigned
Feb 6, 2020
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.020138 IL Primary

Addresses

Primary practice location

420 Airport Rd Ste C
Elgin, IL 60123-9329

Mailing address

420 Airport Rd
Elgin, IL 60123-9329
Phone (847) 428-2273

Other practice location 1

41W400 Silver Glen Rd
St Charles, IL 60175-8453
Phone (630) 940-1100

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
I20200917001364 IL Practitioner - Nurse Practitioner 3274951694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Connections, PLLCGroup PAC ID 1052840816, 4 clinicians
Mathers Clinic LLCGroup PAC ID 7214111582, 21 clinicians

Practice addresses (Care Compare)

101 N Virginia St
Suite 105
Crystal Lake, IL 60014-3466
Phone (312) 206-4115

145 S Virginia St
Crystal Lake, IL 60014-7226
Phone (815) 444-9999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.020138ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mathers Clinic LLC Current Accepting new patients
The Mathers Clinic LLC CurrentSince May 1, 2021 Accepting new patients
Mental Health Connections, PLLC CurrentSince Jun 1, 2025 Accepting new patients
Our Medical Center LLC PastSince Feb 1, 2020 Accepting new patients

Locations

101 N Virginia St
Ste 105
Crystal Lake, IL 60014
Phone (312) 206-4115

145 S Virginia St
Crystal Lake, IL 60014
Phone (815) 397-7654

145 S Virginia St
Ste C
Crystal Lake, IL 60014
Phone (815) 363-6055

455 E Main St
East Dundee, IL 60118
Phone (847) 428-2273

420 Airport Rd
Ste C
Elgin, IL 60123
Phone (815) 444-9999

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, 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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1437781606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 AIRPORT RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239329",
            "telephone_number": "847-428-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 AIRPORT RD STE C",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239329",
            "telephone_number": "847-428-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41W400 Silver Glen Rd",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601758453",
            "country_code": "US",
            "telephone_number": "630-940-1100",
            "fax_number": "630-403-6203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSENBROCK",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.