Individual provider Active NPI

Kiranpreet Kaur, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1902671738
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.028838 Issued in IL
Practice address
219 W Chicago Ave
Chicago, IL 60654-5600
Phone
(312) 878-1945
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.028838 IL Primary

Addresses

Primary practice location

219 W Chicago Ave
Chicago, IL 60654-5600

Mailing address

17 Sable Oaks CT
Bloomington, IL 61704-4816
Phone (309) 826-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231206001529 IL Practitioner - Nurse Practitioner 3971952755 Reassigns benefits to 2 organizations
I20250711000481 FL Practitioner - Nurse Practitioner 3971952755 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.028838ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Nov 17, 2023 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince May 1, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Nov 17, 2023 Accepting new patients
Vitae Health Medical Florida PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

219 W Chicago Ave
Chicago, IL 60654
Phone (312) 878-1945

3400 S Indiana Ave
Chicago, IL 60616
Phone (312) 482-5000

3450 Oakton St
Ste 300
Skokie, IL 60076

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Organizations & group practices 4

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1902671738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SABLE OAKS CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044816",
            "telephone_number": "309-826-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545600",
            "telephone_number": "312-878-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "KIRANPREET",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.028838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.