Individual provider Active NPI

Kasi Novak, APN

  • Nurse Practitioner
  • Rolling Meadows, IL
National Provider Identifier
1649762550
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.017383 Issued in IL
Practice address
3701 Algonquin Rd Ste 900
Rolling Meadows, IL 60008-3193
Phone
(847) 870-4100
Fax
(847) 870-0258
NPI assigned
Jun 6, 2018
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.017383 IL Primary

Addresses

Primary practice location

3701 Algonquin Rd Ste 900
Rolling Meadows, IL 60008-3193

Mailing address

630 Highland Springs Dr
Elgin, IL 60123-2557
Phone (630) 947-5832

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
I20181017001665 IL Practitioner - Nurse Practitioner 1658623756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3701 Algonquin Rd
Suite 900
Rolling Meadows, IL 60008-3193
Phone (847) 870-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.017383ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Oncology and Hematology SC CurrentSince Sep 1, 2018 Accepting new patients
Northwest Oncology & Hematology SC CurrentSince Sep 1, 2018 Accepting new patients

Locations

27750 W Il Route 22
Ste G70
Barrington, IL 60010
Phone (847) 842-0180

800 Biesterfield Rd
Ste 210
Elk Grove Vlg, IL 60007
Phone (847) 437-3312

3701 Algonquin Rd
Ste 900
Rolling Meadows, IL 60008
Phone (847) 577-0620

Organizations & group practices 2

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 1

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1649762550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 HIGHLAND SPRINGS DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232557",
            "telephone_number": "630-947-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 ALGONQUIN RD STE 900",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083193",
            "telephone_number": "847-870-4100",
            "fax_number": "847-870-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "KASI",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.017383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

Verify at the official NPI Registry.