FRONTIER HEALTHCARE SYSTEMS OF ILLINOIS LLC
NPI 1053772020
Nurse Practitioner - Family in Olympia Fields, IL
About Frontier Healthcare Systems Of Illinois Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRONTIER HEALTHCARE SYSTEMS OF ILLINOIS LLC (NPI 1053772020) is a healthcare organization registered as a family in Olympia Fields, Illinois and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through August 16, 2028 and lists Letasha Lewis, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Frontier Healthcare Systems Of Illinois Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Frontier Healthcare Systems Of Illinois LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2349116
Frontier Healthcare System · Olympia Fields, ILFrequently 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 Frontier Healthcare Systems Of Illinois LLC's NPI number?
The NPI number for Frontier Healthcare Systems Of Illinois LLC is 1053772020. It was assigned to this organization in the NPPES registry on March 17, 2016.
Where is Frontier Healthcare Systems Of Illinois LLC located?
Frontier Healthcare Systems Of Illinois LLC is located at 20280 Governors Hwy Ste 102, Olympia Fields, IL 60461. The listed phone number is (708) 234-0388.
What is Frontier Healthcare Systems Of Illinois LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Frontier Healthcare Systems Of Illinois LLC enrolled in Medicare?
Yes. Frontier Healthcare Systems Of Illinois LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Frontier Healthcare Systems Of Illinois LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Frontier Healthcare Systems Of Illinois 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Frontier Healthcare Systems Of Illinois LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2349116) is associated with this NPI, valid through August 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Frontier Healthcare Systems Of Illinois LLC was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Frontier Healthcare Systems Of Illinois Llc · NPI 1053772020
Family organization in Olympia Fields, Illinois. Organization record, active in the CMS NPPES registry since March 17, 2016.
## Identity
- **NPI:** 1053772020 (Entity type: Organization)
- **Enumerated:** March 17, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Letasha Lewis, OWNER
## Practice location
- **Address:** 20280 GOVERNORS HWY STE 102, Olympia Fields, IL 60461-1068
- **Phone:** (708) 234-0388 · **Fax:** (708) 234-0394
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2026
- **Other identifiers:** Medicaid 277001315 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053772020) · Data from the CMS NPPES public registry.