Rebecca Kaechele, APRN
Individual provider Active NPI Family Nurse Practitioner · Highwood, IL
NPI 1821669573 · NPPES record last updated Aug 30, 2022
Key facts
- NPI
- 1821669573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-181432 (AL)
- Practice address
- 200 Green Bay Rd
Highwood, IL 60040-1703 - Phone
- (847) 235-2139
- NPI assigned
- Jul 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231213002338 | WI | Practitioner - Nurse Practitioner | 2466801659 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-181432 | AL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-181432 | AL | Yes |
Addresses
Primary practice location
200 Green Bay Rd
Highwood, IL 60040-1703
Mailing address
200 Green Bay Rd
Highwood, IL 60040-1703
Phone (847) 235-2139
Other practice location 1
152 Grande Vista Way
Chelsea, AL 35043-6243
Phone (262) 945-9080
Other providers in Highwood, IL
- Highland Park Health Care Center, Inc.
- Highland Park Nursing & Rehab Center LLC
- Highland Park Nursing & Rehab Center LLC
- Rebecca Hinsley
- Immediate Transportation LLC
- Lisbeth Anne Leagjeld
- Paul Lee
- Pamella Lee Leiter
- Kaja Lundevall
- Michelle Mary Marrocco
All providers in Highwood, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.