Individual provider Active NPI

Lisa Kay Kracinski, APN

  • Family Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1487286548
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.020605 Issued in IL
Practice address
340 W Butterfield Rd Ste 3B
Elmhurst, IL 60126-5043
Phone
(630) 869-0888
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209020605 IL
Family Nurse Practitioner 363LF0000X 209020605 IL
Family Nurse Practitioner 363LF0000X 209.020605 IL Primary

Addresses

Primary practice location

340 W Butterfield Rd Ste 3B
Elmhurst, IL 60126-5043

Mailing address

10745 S Hamlin Ave
Chicago, IL 60655-3914
Phone (773) 332-7343

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
I20200406002437 IL Practitioner - Nurse Practitioner 0244669612 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

12251 S 80TH Ave
Palos Heights, IL 60463-1290
Phone (708) 923-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209020605ILMDNurse Practitioner
209.020605ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Solutions SC CurrentSince Nov 12, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 3, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Jun 1, 2022 Accepting new patients
Central Dupage Physician Group CurrentSince Jun 1, 2022 Accepting new patients
Lumen Cardiovascular Specialists,LTD CurrentSince Mar 3, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 3, 2025 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

10751 165th St
Ste 100
Orland Park, IL 60467
Phone (708) 403-5075

15300 West Ave
Ste 100A
Orland Park, IL 60462
Phone (708) 226-2318

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6901/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

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": "1742860800000",
    "number": "1487286548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10745 S HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553914",
            "telephone_number": "773-332-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W BUTTERFIELD RD STE 3B",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265043",
            "telephone_number": "630-869-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRACINSKI",
        "first_name": "LISA",
        "middle_name": "KAY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209020605",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020605",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.