Individual provider Active NPI

Kristin Elaine Messinger, FNP

  • Nurse Practitioner
  • Gurnee, IL
National Provider Identifier
1699091926
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209008637 Issued in IL
Practice address
731 S Il Route 21 Ste 120
Gurnee, IL 60031-3803
Phone
(847) 855-9700
Fax
(847) 855-8550
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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 209008637 IL Primary

Addresses

Primary practice location

731 S Il Route 21 Ste 120
Gurnee, IL 60031-3803

Mailing address

731 S Il Route 21 Ste 120
Gurnee, IL 60031-3803
Phone (847) 855-9700

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
I20170524002070 IL Practitioner - Nurse Practitioner 2163550336 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammad Waseem Kagzi MD LTD Current Accepting new patients
Mohammad Waseem Kagzi MD LTD CurrentSince Jan 8, 2019 Accepting new patients

Locations

6440 Grand Ave
Ste 203
Gurnee, IL 60031
Phone (847) 855-9700

731 S Il Route 21
Ste 120
Gurnee, IL 60031
Phone (847) 855-9700

131 E Park Ave
Ste 103
Libertyville, IL 60048
Phone (847) 327-1434

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1699091926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21 STE 120",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313803",
            "telephone_number": "847-855-9700",
            "fax_number": "847-855-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21 STE 120",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313803",
            "telephone_number": "847-855-9700",
            "fax_number": "847-855-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSINGER",
        "first_name": "KRISTIN",
        "middle_name": "ELAINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209008637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.