AV360 LLC
NPI 1013515501
Health Educator in Algonquin, IL
About Av360 Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AV360 LLC (NPI 1013515501) is a healthcare organization registered as a health educator in Algonquin, Illinois and active in the NPI registry since October 2020. The organization lists Betsy Kostka, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Av360 Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Av360 LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Av360 LLC's NPI number?
The NPI number for Av360 LLC is 1013515501. It was assigned to this organization in the NPPES registry on October 15, 2020.
Where is Av360 LLC located?
Av360 LLC is located at 2140 Lake Cook Rd, Algonquin, IL 60102. The listed phone number is (224) 333-0948.
What is Av360 LLC's specialty?
The primary specialty registered for this NPI is Health Educator with taxonomy code 174H00000X.
Is Av360 LLC enrolled in Medicare?
Yes. Av360 LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Av360 LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Av360 LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (6), Occupational Therapist in Private Practice (2) and Family Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Av360 LLC was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Av360 Llc · NPI 1013515501
Health Educator organization in Algonquin, Illinois. Organization record, active in the CMS NPPES registry since October 15, 2020.
## Identity
- **NPI:** 1013515501 (Entity type: Organization)
- **Enumerated:** October 15, 2020
- **Primary specialty:** Health Educator · taxonomy 174H00000X
- **Organization subpart:** No
- **Authorized official:** Betsy Kostka, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 2140 LAKE COOK RD, Algonquin, IL 60102-5447
- **Phone:** (224) 333-0948 · **Fax:** (224) 228-2822
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (6), Occupational Therapist in Private Practice (2), Family Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1013515501) · Data from the CMS NPPES public registry.