Individual provider Active NPI

Keyona Dena Gayles, FNP-C

  • Family Nurse Practitioner
  • Tinley Park, IL
National Provider Identifier
1669028312
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.004183 Issued in IL
Practice address
6700 167TH St Ste 3
Tinley Park, IL 60477-2078
Phone
(312) 927-1897
Fax
(773) 825-8277
NPI assigned
Aug 16, 2019
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 277.004183 IL Primary

Addresses

Primary practice location

6700 167TH St Ste 3
Tinley Park, IL 60477-2078

Mailing address

6700 167TH St Ste 3
Tinley Park, IL 60477-2078
Phone (312) 927-1897

Other names 1

  • Ms. Keyona Dena Gayles Former name

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
I20191003000712 IL Practitioner - Nurse Practitioner 2769712850 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altea Medical Illinois PLLCGroup PAC ID 5799129730, 30 clinicians
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

14500 S Manistee Ave
Burnham, IL 60633-2004
Phone (775) 287-3290

2649 E 75TH St
Chicago, IL 60649-3835
Phone (773) 356-9300

3354 Jerome LN
Cahokia, IL 62206-2604
Phone (877) 883-9430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277.004183ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Illinois PLLC CurrentSince Jan 6, 2024 Accepting new patients
Post Acute Medical PLLC CurrentSince Dec 11, 2023 Accepting new patients
Elevated Health & Wellness Family CurrentSince May 4, 2025 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Aug 1, 2021 Accepting new patients
CMC Healthcare LLC CurrentSince Jun 10, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Aug 1, 2021 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

422 E 4th St S
Arcola, IL 61910
Phone (217) 268-3022

2070 N State Route 50
Ste 500
Bourbonnais, IL 60914
Phone (779) 236-4094

14500 S Manistee Ave
Chicago, IL 60633
Phone (708) 862-1260

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

2649 E 75th St
Chicago, IL 60649
Phone (773) 356-9300

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

1101 E State St
Geneva, IL 60134
Phone (312) 519-9009

200 Martin Ave
Naperville, IL 60540
Phone (630) 355-4111

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

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.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1669028312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 167TH ST STE 3",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772078",
            "telephone_number": "312-927-1897",
            "fax_number": "773-825-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 167TH ST STE 3",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772078",
            "telephone_number": "312-927-1897",
            "fax_number": "773-825-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYLES",
        "first_name": "KEYONA",
        "middle_name": "DENA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.004183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEYONA",
            "last_name": "GAYLES",
            "middle_name": "DENA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.