Individual provider Active NPI

Kinga Pater

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1659882116
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.016506 Issued in IL
Practice address
3445 N Central Ave Ste C
Chicago, IL 60634-4420
Phone
(847) 636-0708
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.016506 IL Primary

Addresses

Primary practice location

3445 N Central Ave Ste C
Chicago, IL 60634-4420

Mailing address

946 Maple LN
Elk Grove Village, IL 60007-4537
Phone (847) 636-0708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20171121001288 IL Practitioner - Nurse Practitioner 1254698533 Reassigns benefits to 2 organizations
I20240226003290 IN Practitioner - Nurse Practitioner 1254698533 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
Telehealth
Offers telehealth services
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

5521 W Lincoln Hwy
Suite 205
Crown Point, IN 46307-1098
Phone (219) 769-1464

5623 W Touhy Ave
Niles, IL 60714-4019
Phone (720) 703-5293

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.016506ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagehealth DM LLC CurrentSince May 14, 2023 Accepting new patients
Paragon Clinical LLC Family CurrentSince Jan 7, 2020 Accepting new patients
Metropolitan Healthcare Partners PLLC Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

5623 W Touhy Ave
Niles, IL 60714
Phone (847) 647-3140

5521 W Lincoln Hwy
Ste 205
Crown Point, IN 46307
Phone (219) 769-1464

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1659882116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 MAPLE LN",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600074537",
            "telephone_number": "847-636-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 N CENTRAL AVE STE C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344420",
            "telephone_number": "847-636-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATER",
        "first_name": "KINGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.016506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.