Krystal Allen, RN,BSN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI 1922760198 · NPPES record last updated Jun 8, 2026
Key facts
- NPI
- 1922760198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209033750 (IL)
- Practice address
- 1203 W Augusta Blvd Ste 1
Chicago, IL 60642-4327 - Phone
- (773) 248-2255
- Fax
- (773) 524-2466
- NPI assigned
- Oct 6, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bespoke Psychiatry
Practice addresses (Care Compare)
1203 W Augusta Blvd
Suite 1
Chicago, IL 60642-4327
Phone (773) 248-2255
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260430000417 | IL | Practitioner - Nurse Practitioner | 5890262547 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209033750 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bespoke Psychiatry | Current |
Accepting new patients |
Locations
1203 W Augusta Blvd
Ste 1
Chicago, IL 60642
Phone (773) 248-2255
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209033750 | IL | Yes |
Addresses
Primary practice location
1203 W Augusta Blvd Ste 1
Chicago, IL 60642-4327
Mailing address
1203 W Augusta Blvd Ste 1
Chicago, IL 60642-4327
Phone (773) 248-2255
Other providers in Chicago, IL
- Kaitlyn N Allen
- Kathryn Allen
- Kenneth J. Allen
- Kiona Yasmin Allen
- Kristin L Allen
- Kylee Jordan Allen
- Lamara Gayton Allen
- Laquesha Allen
- Leatrice D Allen
- Leila Allen
All providers in Chicago, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.