KATRINA LEE BASIC FNP-C, EMT-P
NPI 1043939747
Nurse Practitioner - Family in Chicago, IL

Active since August 25, 2022PECOS EnrolledAccepts Medicare Assignment
11009 S SAINT LOUIS AVE, CHICAGO, IL 60655(773) 710-2569 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2026, Jan 15, 2026, Aug 25, 2022 (3 updates tracked since 2022).

About Katrina Lee Basic Fnp-c, Emt-p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATRINA LEE BASIC FNP-C, EMT-P (NPI 1043939747) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.025190) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043939747
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATRINA LEE BASICCredential: FNP-C, EMT-P
Location Address11009 S SAINT LOUIS AVEChicago, IL 60655-3321
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-1614 · Fax (239) 343-3695
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 25, 2022
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1043939747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.025190
Also ListedEmergency Medical Technician, ParamedicTaxonomy 146L00000X · License 000471490 (IL)
Also ListedRegistered NurseTaxonomy 163W00000X · License 41.420072 (IL)
11009 S SAINT LOUIS AVE, Chicago, IL 60655

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katrina Lee Basic Fnp-c, Emt-p is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961949490
PECOS Enrollment IDI20240801003835, I20251201002615
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

St Bernard Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140103
Location326 W 64th StChicago, IL 60621 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Katrina Basic's NPI number?

The NPI number for Katrina Basic is 1043939747. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Where is Katrina Basic located?

Katrina Basic practices at 11009 S Saint Louis Ave, Chicago, IL 60655. The listed phone number is (773) 710-2569.

What is Katrina Basic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katrina Basic enrolled in Medicare?

Yes. Katrina Basic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Katrina Basic affiliated with any hospitals?

According to CMS data, Katrina Basic is affiliated with Lee Memorial Hospital and St Bernard Hospital.

When was this NPI record last updated?

The NPPES record for Katrina Basic was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.