Beverly Ellen Knigge, A.P.N., C.N.P.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

209-002192 Issued in IL

Practice address

2425 W 22ND Street
Oak Brook, IL 60523-1247

Phone

(630) 568-3912

Fax

(630) 581-5286

NPI assigned

Aug 20, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Beverly Knigge Medical SC

  • Primary Care Nurse Practitioner
  • Oak Brook, IL
  • NPI 1922438332
  Medicare reassignment Authorized official
• Eman Medical SC

  • Primary Care Clinic/Center
  • Lombard, IL
  • NPI 1962663914
  NPD (past)
• Paul M. Baubly, M.D. S. C.

  dba Center Street Medical

  • Primary Care Clinic/Center
  • Elmhurst, IL
  • NPI 1114119245
  NPD (past)

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

{
    "created_epoch": "1124496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1871585224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3S053 BLACKCHERRY LN",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377201",
            "telephone_number": "630-248-1236",
            "fax_number": "630-545-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W 22ND STREET",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231247",
            "telephone_number": "630-568-3912",
            "fax_number": "630-581-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGGE",
        "first_name": "BEVERLY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "A.P.N., C.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-20",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209-002192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "02232472",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Kleinman, PSY.D.
• Kleiser Therapy Services PC
• Susan C Kling-Colson, P.A.
• Juliane Klinke, LCSW
• John Hilary Kluczynski, PSY.D.
• Jennifer Natalie Knox, M.A., L.C.P.C.
• Jessica Knox, RBT
• Susan Kochlefl, DDS
• Ann Marie Kolker Rychel, MA, CCC-SLP
• Koluma Health PLLC

• Primary Care Nurse Practitioner in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.