Individual provider Active NPI

Kacey Lynn Dayton, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1861650319
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-003132 Issued in IL
Practice address
1230 W Lake St
Chicago, IL 60607-1602
Phone
(312) 666-0028
Fax
(312) 666-5214
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-003132 IL Primary

Addresses

Primary practice location

1230 W Lake St
Chicago, IL 60607-1602

Mailing address

1230 W Lake St
Chicago, IL 60607-1602
Phone (312) 666-0028

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
I20081204000544 IL Practitioner - Physician Assistant 0749341006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care of Illinois PCGroup PAC ID 6002040276, 36 clinicians

Practice addresses (Care Compare)

10137 Grand Ave
Franklin Park, IL 60131-2548
Phone (847) 451-7590

4200 Mannheim Rd
Schiller Park, IL 60176-1872
Phone (847) 801-5170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-003132ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Illinois PC CurrentSince Aug 1, 2013 Accepting new patients
Esperanza Health Centers CurrentSince Feb 15, 2021 Accepting new patients
Esperanza Health Centers CurrentSince Feb 15, 2021 Accepting new patients
Workfit Physical Therapy LLC PastSince Mar 31, 2024 Accepting new patients

Locations

2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785

1230 W Lake St
Chicago, IL 60607
Phone (312) 666-0028

2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201

7421 Cass Ave
Darien, IL 60561
Phone (630) 286-5300

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

555 Valley View Dr
Moline, IL 61265
Phone (309) 764-9675

Interoperability endpoints

  • Direct secure messaging: kacey.dayton.1@24714.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1861650319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 W LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071602",
            "telephone_number": "312-666-0028",
            "fax_number": "312-666-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071602",
            "telephone_number": "312-666-0028",
            "fax_number": "312-666-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYTON",
        "first_name": "KACEY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-003132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.