Individual provider Active NPI

Emily Krachenfels, PA-C

  • Physician Assistant
  • Naperville, IL
National Provider Identifier
1891515367
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085010903 Issued in IL
Practice address
1952 MC Dowell Rd Ste 305
Naperville, IL 60563-6507
Phone
(630) 689-1022
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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 085010903 IL Primary

Addresses

Primary practice location

1952 MC Dowell Rd Ste 305
Naperville, IL 60563-6507

Mailing address

1952 MC Dowell Rd Ste 305
Naperville, IL 60563-6507
Phone (630) 689-1022

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
I20241210002711 IL Practitioner - Physician Assistant 4981130267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Behavioral Health Services LLCGroup PAC ID 0941463699, 30 clinicians

Practice addresses (Care Compare)

1952 MC Dowell Rd
Naperville, IL 60563-6507
Phone (630) 689-1022

1952 McDowell Rd
Suite 305
Naperville, IL 60563-6507
Phone 63068910223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085010903ILMDPhysician Assistant

Organizations & group practices 1

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": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1891515367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 MC DOWELL RD STE 305",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636507",
            "telephone_number": "630-689-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 MC DOWELL RD STE 305",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636507",
            "telephone_number": "630-689-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRACHENFELS",
        "first_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.