Individual provider Active NPI

Brenda Karas

  • Nurse Practitioner
  • Frankfort, IL
National Provider Identifier
1790260602
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.017878 Issued in IL
Practice address
8698 Graystone CT
Frankfort, IL 60423-8749
Phone
(708) 899-5522
NPI assigned
Sep 26, 2018
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209017 IL
Nurse Practitioner 363L00000X 209.017878 IL Primary

Addresses

Primary practice location

8698 Graystone CT
Frankfort, IL 60423-8749

Mailing address

8698 Graystone CT
Frankfort, IL 60423-8749
Phone (708) 899-5522

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
I20190416001961 IL Practitioner - Nurse Practitioner 8921349176 Reassigns benefits to 3 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
Crest Hill Clinic, LTD.Group PAC ID 3577952761, 5 clinicians

Practice addresses (Care Compare)

2430 Plainfield Rd
Suite 1a
Crest Hill, IL 60403-1467
Phone (815) 439-2120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.017878ILMDNurse Practitioner
209017ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Apr 2, 2019 Accepting new patients
Crest Hill Clinic LTD CurrentSince Jul 22, 2021 Accepting new patients
Vpa PC CurrentSince Apr 2, 2019 Accepting new patients
Transitions Home Medical Group PLLC Nurse Practitioner CurrentSince Jun 20, 2022 Accepting new patients

Locations

2430 Plainfield Rd
Ste 1A
Crest Hill, IL 60403
Phone (815) 439-2120

2312 Touhy Ave
Elk Grove Vlg, IL 60007
Phone (816) 637-2200

2430 Plainfield Rd
Joliet, IL 60403
Phone (815) 439-2120

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Interoperability endpoints

  • Direct secure messaging: brenda.karas.1@13826.direct.athenahealth.com

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, 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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1790260602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8698 GRAYSTONE CT",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238749",
            "telephone_number": "708-899-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8698 GRAYSTONE CT",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238749",
            "telephone_number": "708-899-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAS",
        "first_name": "BRENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209017",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.017878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.