Individual provider Active NPI

Katharyn Hymes, FNP

  • Family Medicine Physician
  • Northbrook, IL
National Provider Identifier
1891222097
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
277.000817 Issued in IL
Practice address
4179 Dundee Rd Ste A106
Northbrook, IL 60062-2129
Phone
(847) 402-2300
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 277.000817 IL Primary

Addresses

Primary practice location

4179 Dundee Rd Ste A106
Northbrook, IL 60062-2129

Mailing address

4179 Dundee Rd Ste A106
Northbrook, IL 60062-2129
Phone (847) 402-2300

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
I20180312001263 IL Practitioner - Nurse Practitioner 2466713359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premise Health of Illinois Medical PCGroup PAC ID 3971764762, 26 clinicians

Practice addresses (Care Compare)

4179 Dundee Rd
Suite A106
Northbrook, IL 60062-2129
Phone (847) 402-2300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277.000817ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Illinois Medical PC CurrentSince Jun 21, 2024 Accepting new patients
Access Community Health Network Current Accepting new patients
Vpa PC Family Medicine CurrentSince Jun 26, 2018 Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Jun 21, 2024 Accepting new patients
Vpa PC Family Medicine CurrentSince Jun 26, 2018 Accepting new patients
Vpa PC Family Medicine Current Accepting new patients
Premise Health of Illinois Medical PC Current Accepting new patients
Access Community Health Network CurrentSince Oct 8, 2018 Accepting new patients
Access Community Health Network CurrentSince Oct 8, 2018 Accepting new patients

Locations

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

16906 Collection Ctr Dr
Chicago, IL 60693

6150 Joliet Rd
Countryside, IL 60525
Phone (708) 485-2273

8321 W North Ave
Melrose Park, IL 60160
Phone (708) 681-2298

4179 Dundee Rd
Ste A106
Northbrook, IL 60062
Phone (847) 402-2300

Interoperability endpoints

  • Direct secure messaging: kkroschel13605@direct.achn.net

Organizations & group practices 9

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1891222097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 DUNDEE RD STE A106",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622129",
            "telephone_number": "847-402-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 DUNDEE RD STE A106",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622129",
            "telephone_number": "847-402-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMES",
        "first_name": "KATHARYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "277.000817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.