Individual provider Active NPI

Kristen Marie Stromski, NP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1447717111
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018687 Issued in IL
Practice address
1724 W Beach Ave
Chicago, IL 60622-2108
Phone
(630) 335-2369
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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 209018687 IL Primary

Addresses

Primary practice location

1724 W Beach Ave
Chicago, IL 60622-2108

Mailing address

1724 W Beach Ave
Chicago, IL 60622-2108
Phone (630) 335-2369

Other names 1

  • Kristen Marie Clark Former name

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
I20190516001415 IL Practitioner - Nurse Practitioner 6406199306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seth a Eappen MD PLLCGroup PAC ID 6002184264, 5 clinicians

Practice addresses (Care Compare)

600 Enterprise Dr
Suite 220
Oak Brook, IL 60523-4202
Phone (844) 632-7736

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209018687ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seth a. Eappen, MD PLLC CurrentSince Apr 9, 2019 Accepting new patients

Locations

1431 N Claremont Ave
Fl 2
Chicago, IL 60622
Phone (312) 493-9520

600 Enterprise Dr
Ste 220
Oak Brook, IL 60523
Phone (844) 632-7736

62 Orland Square Dr
Ste 101
Orland Park, IL 60462
Phone (708) 349-5433

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1447717111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 W BEACH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222108",
            "telephone_number": "630-335-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 W BEACH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222108",
            "telephone_number": "630-335-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROMSKI",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "CLARK",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.