Individual provider Active NPI

Beata A Krupa, APN-CNP

  • Nurse Practitioner
  • Huntley, IL
National Provider Identifier
1619327061
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277001607 Issued in IL
Practice address
10350 Haligus Rd Ste a
Huntley, IL 60142-9545
Phone
(815) 455-6100
Fax
(847) 802-7162
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277001607 IL
Nurse Practitioner 363L00000X 277001607 IL Primary

Addresses

Primary practice location

10350 Haligus Rd Ste a
Huntley, IL 60142-9545

Mailing address

10350 Haligus Rd Ste a
Huntley, IL 60142-9545
Phone (815) 455-6100

Other identifiers 1

IdentifierTypeStateIssuer
209013911OtherILSTATE LICENSE

Other names 1

  • Beata A Wieczorek Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bkrupa269740@direct.northshore.org

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
I20160805001172 IL Practitioner - Nurse Practitioner 5991099483 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

10350 Haligus Rd
Huntley, IL 60142-9545

360 Station Dr
Crystal Lake, IL 60014-7978
Phone (815) 788-7500

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

9977 Woods Dr
Skokie, IL 60077-1057
Phone (847) 657-1819

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Nov 5, 2018 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Journeycare, Inc Current Accepting new patients
Journeycare, Inc. CurrentSince Jun 20, 2016 Accepting new patients
Injurycare Limited PastSince Jul 7, 2024 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

9977 Woods Dr
#B70
Skokie, IL 60077

9977 Woods Dr
Skokie, IL 60077
Phone (847) 663-8540

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1619327061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429545",
            "telephone_number": "815-455-6100",
            "fax_number": "847-802-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429545",
            "telephone_number": "815-455-6100",
            "fax_number": "847-802-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPA",
        "first_name": "BEATA",
        "middle_name": "A",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001607",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277001607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209013911",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkrupa269740@direct.northshore.org",
            "affiliation": "N",
            "address_1": "9977 Woods Dr",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BEATA",
            "last_name": "WIECZOREK",
            "middle_name": "A",
            "credential": "MSN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.