Individual provider Active NPI

Kimberly Graf, FNP-C

  • Family Nurse Practitioner
  • Glenview, IL
National Provider Identifier
1982465738
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209029353 Issued in IL
Practice address
2551 Compass Rd Ste 105
Glenview, IL 60026-8042
Phone
(847) 901-0252
Fax
(847) 901-0273
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041329117 IL
Family Nurse Practitioner 363LF0000X 209029353 IL Primary

Addresses

Primary practice location

2551 Compass Rd Ste 105
Glenview, IL 60026-8042

Mailing address

2551 Compass Rd Ste 105
Glenview, IL 60026-8042
Phone (847) 901-0252

Other practice location 1

3000 N Halsted St Ste 401
Chicago, IL 60657-9268
Phone (773) 296-3636

Other practice location 2

225 E Deerpath Ste 50
Lake Forest, IL 60045-1970
Phone (847) 735-8734

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
I20240329001125 IL Practitioner - Nurse Practitioner 9830537679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatologists of Illinois, PLLCGroup PAC ID 9537128004, 12 clinicians

Practice addresses (Care Compare)

3000 N Halsted St
Suite 320
Chicago, IL 60657-5190
Phone (773) 296-3636

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041329117ILMDRegistered Nurse
209029353ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologists of Illinois, PLLC CurrentSince Mar 1, 2024 Accepting new patients
North Shore Rheumatology Past Accepting new patients

Locations

3000 N Halsted St
Ste 320
Chicago, IL 60657
Phone (773) 296-3636

3000 N Halsted St
Ste 401
Chicago, IL 60657
Phone (773) 296-3636

2551 Compass Rd
Ste 105
Glenview, IL 60026
Phone (847) 901-0252

225 E Deerpath
Ste 50
Lake Forest, IL 60045
Phone (847) 234-6121

900 N Westmoreland Rd
Ste 222
Lake Forest, IL 60045
Phone (847) 234-6121

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.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1982465738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 COMPASS RD STE 105",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268042",
            "telephone_number": "847-901-0252",
            "fax_number": "847-901-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 COMPASS RD STE 105",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268042",
            "telephone_number": "847-901-0252",
            "fax_number": "847-901-0273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Halsted St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606579268",
            "country_code": "US",
            "telephone_number": "773-296-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 E Deerpath Ste 50",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451970",
            "country_code": "US",
            "telephone_number": "847-735-8734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAF",
        "first_name": "KIMBERLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041329117",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.