Individual provider Active NPI

Beata Kusnierz

  • Gerontology Nurse Practitioner
  • Northfield, IL
National Provider Identifier
1902539216
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209025770 Issued in IL
Practice address
181 Waukegan Rd
Northfield, IL 60093-2755
Phone
(847) 446-0000
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209025770 IL
Primary Care Nurse Practitioner 363LP2300X AG05220075 IL
Primary Care Nurse Practitioner 363LP2300X 209025770 IL
Gerontology Nurse Practitioner 363LG0600X 209025770 IL Primary

Addresses

Primary practice location

181 Waukegan Rd
Northfield, IL 60093-2755

Mailing address

1829 E Basswood LN
Mt Prospect, IL 60056-1809
Phone (224) 392-2861

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
I20230220001317 IL Practitioner - Nurse Practitioner 5092187195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Healthcare Partners PLLCGroup PAC ID 2466824149, 25 clinicians

Practice addresses (Care Compare)

3445 N Central Ave
Chicago, IL 60634-4420
Phone (773) 205-0800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209025770ILMDGerontology Nurse Practitioner
AG05220075ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Healthcare Partners PLLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

3445 N Central Ave
Unit C
Chicago, IL 60634
Phone (773) 205-0800

3445 N Central Ave
Ste C
Chicago, IL 60634
Phone (773) 205-0800

3445 N Central Ave
Chicago, IL 60634
Phone (312) 715-8088

5605 W Gunnison St
Chicago, IL 60630
Phone (773) 545-2525

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1902539216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 E BASSWOOD LN",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600561809",
            "telephone_number": "224-392-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 WAUKEGAN RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932755",
            "telephone_number": "847-446-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSNIERZ",
        "first_name": "BEATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209025770",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "AG05220075",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209025770",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209025770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

Verify at the official NPI Registry.