Kristen Bugajski

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209031490 Issued in IL

Practice address

10604 Southwest Hwy Ste 200
Chicago Ridge, IL 60415-2717

Phone

(708) 424-9710

NPI assigned

Jan 28, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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.

• Affiliated Oncologists, LLC

  • Medical Oncology Physician
  • Oak Lawn, IL
  • NPI 1225314362

  IL

  Medicare reassignment NPD
• Express Urgent Care LLC

  • Urgent Care Clinic/Center
  • Chicago Ridge, IL
  • NPI 1487134961
  NPD (past)
• Gynecological Cancer Institute of Chicago, LLC

  • Gynecologic Oncology Physician
  • Oak Lawn, IL
  • NPI 1114318474
  NPD (past)
• Mobile Anesthesiologists Chicago LLC

  • Anesthesiology Physician
  • Rosemont, IL
  • NPI 1396887774
  NPD (past)

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1497568133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PROVIDENCE WAY",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60431",
            "telephone_number": "708-793-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10604 SOUTHWEST HWY STE 200",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152717",
            "telephone_number": "708-424-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGAJSKI",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209031490",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209031490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reilly Bootle, M.S. CCC-SLP
• Christine D Boyd, M.D.
• Kristin Bragiel
• Karen M Brann, APN
• Aidan Martin Brodie, COTA
• Violet Hunter Cabot, M.S. CCC-SLP
• Cagles Dialysis LLC
• Cardio-Medicine SC
• Jonathan Casabal, PTA
• Kaely Rose Cassidy, M.S., SLP/L

• All providers in Chicago Ridge, IL
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.