Individual provider Active NPI

Natalia Montoya Klusacek, APRN, FNP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1497142285
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013725 Issued in IL
Practice address
200 S Wacker Dr FL 31
Chicago, IL 60606-5877
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Apr 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 218584 AR
Family Nurse Practitioner 363LF0000X 1-188919 AL
Family Nurse Practitioner 363LF0000X SP033729 PA
Family Nurse Practitioner 363LF0000X 206313 OK
Family Nurse Practitioner 363LF0000X 30504 TN
Family Nurse Practitioner 363LF0000X 71012282A IN
Family Nurse Practitioner 363LF0000X APRN-4809 HI
Family Nurse Practitioner 363LF0000X 1019558 TX
Registered Nurse 163W00000X 041395324 IL
Family Nurse Practitioner 363LF0000X APRN11040539 FL
Family Nurse Practitioner 363LF0000X APN.0997902-NP CO
Family Nurse Practitioner 363LF0000X 10006498 OR
Family Nurse Practitioner 363LF0000X 209013725 IL Primary
Family Nurse Practitioner 363LF0000X 278994 AZ
Family Nurse Practitioner 363LF0000X 2024047626 MO

Addresses

Primary practice location

200 S Wacker Dr FL 31
Chicago, IL 60606-5877

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

2130 SW 59th St
Oklahoma City, OK 73119-7025
Phone (403) 303-7555

Other practice location 2

4841 SE 14th St
Des Moines, IA 50320-1616
Phone (515) 415-4081

Other practice location 3

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2932
Phone (719) 454-6010

Other practice location 4

1687 Center Point Pkwy Ste 121
Birmingham, AL 35215-5525
Phone (205) 557-7022

Other practice location 5

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, LA, CO, NM, AL, AZ, OR, HI9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20160301001378 IL Practitioner - Nurse Practitioner 1759686660 Reassigns benefits to 2 organizations
I20210427000464 TX Practitioner - Nurse Practitioner 1759686660 Reassigns benefits to 1 organization
I20221110003045 LA Practitioner - Nurse Practitioner 1759686660 Reassigns benefits to 1 organization
I20221208000046 CO Practitioner - Nurse Practitioner 1759686660 Reassigns benefits to 2 organizations
I20221229001776 NM Practitioner - Nurse Practitioner 1759686660 Reassigns benefits to 1 organization
I20230103001683 AL Practitioner - Nurse Practitioner 1759686660 Reassigns benefits to 1 organization
I20230310001988 AZ Practitioner - Nurse Practitioner 1759686660 Reassigns benefits to 1 organization
I20240412002087 OR Practitioner - Nurse Practitioner 1759686660 Reassigns benefits to 1 organization
I20241002002567 HI Practitioner - Nurse Practitioner 1759686660 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041395324ILMDRegistered Nurse
1-188919ALMDFamily Nurse Practitioner
218584ARMDFamily Nurse Practitioner
278994AZMDFamily Nurse Practitioner
APN.0997902-NPCOMDFamily Nurse Practitioner
APRN11040539FLMDFamily Nurse Practitioner
APRN-4809HIMDFamily Nurse Practitioner
209013725ILMDFamily Nurse Practitioner
71012282AINMDFamily Nurse Practitioner
2024047626MOMDFamily Nurse Practitioner
10006498ORMDFamily Nurse Practitioner
SP033729PAMDFamily Nurse Practitioner
1019558TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network Current Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Nurse Practitioner CurrentSince Oct 20, 2022 Accepting new patients
Oak Street Health Physicians Group of New Mexico LLC Nurse Practitioner CurrentSince Oct 16, 2022 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Mar 15, 2024 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Mar 15, 2024 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Nurse Practitioner CurrentSince Oct 20, 2022 Accepting new patients
Devoted Medical PC CurrentSince Feb 16, 2024 Accepting new patients
Devoted Medical Group Inc CurrentSince Apr 5, 2024 Accepting new patients
Access Community Health Network CurrentSince Mar 14, 2016 Accepting new patients
Access Community Health Network CurrentSince Mar 14, 2016 Accepting new patients
Oak Street Health Physicians Group of Louisiana LLC Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients
Osh-Mi Physicians Group PC Family Past Accepting new patients
McFatter Family Medical, LLC Past Accepting new patients
Oak Street Health Physicians Group of Tennessee, PLLC PastSince Jul 17, 2022 Accepting new patients

Locations

16435 N Scottsdale Rd
Ste 285
Scottsdale, AZ 85254
Phone (520) 346-4431

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010

200 S Wacker Dr
Fl 31
Chicago, IL 60606
Phone (312) 674-4746

2533 W Cermak Rd
Chicago, IL 60608
Phone (773) 523-0900

5151 Plank Rd
Ste 210
Baton Rouge, LA 70805
Phone (225) 500-7028

6521 Airline Dr
Metairie, LA 70003
Phone (504) 534-1226

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

4208 Central Ave SW
Ste G
Albuquerque, NM 87105
Phone (505) 777-3001

4145 SW Watson Ave
Ste 350
Beaverton, OR 97005
Phone (503) 728-8546

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1497142285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WACKER DR FL 31",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065877",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 SW 59th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731197025",
            "country_code": "US",
            "telephone_number": "403-303-7555",
            "fax_number": "405-561-5615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4841 SE 14th St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503201616",
            "country_code": "US",
            "telephone_number": "515-415-4081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4380 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809182932",
            "country_code": "US",
            "telephone_number": "719-454-6010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1687 Center Point Pkwy Ste 121",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352155525",
            "country_code": "US",
            "telephone_number": "205-557-7022",
            "fax_number": "205-831-2849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4848 W Irving Park Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60641",
            "country_code": "US",
            "telephone_number": "773-724-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLUSACEK",
        "first_name": "NATALIA",
        "middle_name": "MONTOYA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "218584",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-188919",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033729",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "206313",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30504",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012282A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4809",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019558",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041395324",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11040539",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997902-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10006498",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013725",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "278994",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024047626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.