Ji NA Khananisho, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

041464552 Issued in IL

Practice address

2720 W Division St
Chicago, IL 60622-2853

Phone

(773) 772-7858

NPI assigned

Oct 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vivek Gupta, M.D., S.C.Group PAC ID 3678668308, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carelink Home Health, LLC Home health agency, Schaumburg, IL, CCN 148016
• Interim Healthcare of Chicago Home health agency, Alsip, IL, CCN 147182
• Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180
• Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115

Merit-based Incentive Payment System (MIPS)

Final score

94.93 of 100Reported as individual

Quality

90

Improvement activities

40

Cost

68.09

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vivek Gupta, M.D., S.C.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1033300694
  Medicare reassignment Care Compare group NPD
• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Willowbrook, IL
  • NPI 1548692890
  Medicare reassignment NPD
• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1659952554
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carelink Home Health, LLC

  • Home Health Agency
  • Schaumburg, IL
  • NPI 1487834123
  Care Compare affiliation
• PSG Services, LLC

  • Home Health Agency
  • Alsip, IL
  • NPI 1598725103
  Care Compare affiliation
• Saint Mary of Nazareth Hospital - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1265270607
  Care Compare affiliation
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961
  Care Compare affiliation

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1437812203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3603",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605223603",
            "telephone_number": "773-772-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222853",
            "telephone_number": "773-772-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANANISHO",
        "first_name": "JI NA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041464552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bikash Khanal, MD
• Mamata Khanal
• Shreyashi Khanal
• Smriti Khanal, M.D.
• Sulav Khanal, MD
• Nitika Narendra Khandekar, MD
• Sonali Khandelwal, M.D.
• Rekha Vilas Khandeparker, M.D.
• Khandeparker, SC.
• Vilas Khandeparker, M.D.

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.

Verify at the official NPI Registry.