Emily Catherine Kubacki, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14511-33 Issued in WI

Practice address

3330 Skokie Valley Rd Ste 200
Highland Park, IL 60035-1041

Phone

(847) 386-7744

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By the provider in NPPES

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 WI

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Telemedico Physicians of Wisconsin SCGroup PAC ID 7719238575, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.55 of 100Reported as group

Quality

79.85

Improvement activities

40

Cost

75.36

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Telemedico Physicians of Wisconsin SC

  • Cardiovascular Disease Physician
  • Madison, WI
  • NPI 1215414727

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1447038005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 N 63RD ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131558",
            "telephone_number": "414-416-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 SKOKIE VALLEY RD STE 200",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351041",
            "telephone_number": "847-386-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBACKI",
        "first_name": "EMILY",
        "middle_name": "CATHERINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "14511-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Kramer, LCSW
• Laura Ann Kresch, DNP, APNP, FNP-BC
• Monika A. Krezalek, M.D.
• Jelena Krstic
• Eliezer Krumbein, PHD
• Richard Kubes, LMT
• Cinda Kuhn
• Ila P Kurani, MD
• Craig Van Nort Labbate, MD
• Meredith Roberts Lacaillade, APN - RN

• Family Nurse Practitioner in Highland Park, IL
• Providers in Highland Park, 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 15, 2023; 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.