Tara Krisch

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209016804 Issued in IL

Practice address

111 N County Farm Rd
Wheaton, IL 60187-3977

Phone

(630) 682-7400

NPI assigned

Nov 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Nurse Practitioner

Education

Rush Medical College of Rush University, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of Dupage Department of HealthGroup PAC ID 4981695103, 30 clinicians

Mindplexity Psychiatric Services PLLCGroup PAC ID 9032596788, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• County of Dupage Department of Health

  dba DuPage County Health Department

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wheaton, IL
  • NPI 1134110786
  Medicare reassignment Care Compare group NPD
• Mindplexity Psychiatric Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockford, IL
  • NPI 1437808433
  Medicare reassignment Care Compare group NPD
• County of Dupage Department of Health

  dba DuPage County Health Department - East Public Health Center

  • Health Service Clinic/Center
  • Lombard, IL
  • NPI 1750825428
  NPD
• County of Dupage Department of Health

  dba Dupage County Health Department The Community Center

  • Health Service Clinic/Center
  • Wheaton, IL
  • NPI 1932892999
  NPD

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1619480159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N COUNTY FARM RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N COUNTY FARM RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873977",
            "telephone_number": "630-682-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISCH",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209016804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Kratz
• Taylor Krause, PT
• Anne Krick, PSY.D.
• Richard Krieger, MD
• Katharine Joyce Kriemelmeyer, P.T.
• Kristen Conley LMFT LLC
• Kristin Padera Ma LCPC Inc. (Kristin Padera & Associates)
• Mary Kroger
• Michelle M. Kron-Gray, MD, PHD
• Marie Krueger

• Psychiatric/Mental Health Nurse Practitioner in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.