ANDREA PAWLAK APRN, FNP-BC
NPI 1053898130
Nurse Practitioner in Hazel Crest, IL

Q: What is Andrea Pawlak's NPI number?

The NPI number for Andrea Pawlak is 1053898130. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Q: What is Andrea Pawlak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Pawlak was last updated on May 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 23, 2018PECOS EnrolledAccepts Medicare Assignment

17800 KEDZIE AVE, HAZEL CREST, IL 60429(708) 213-4200 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2023, Jul 23, 2018 (2 updates tracked since 2018).

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About Andrea Pawlak Aprn, Fnp-bc NPPES

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

ANDREA PAWLAK APRN, FNP-BC (NPI 1053898130) is an individual nurse practitioner in Hazel Crest, Illinois, licensed in Illinois (209017857) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053898130

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANDREA PAWLAKCredential: APRN, FNP-BC

Location Address17800 KEDZIE AVEHazel Crest, IL 60429-2029

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(708) 213-4200

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 23, 2018

Last NPPES UpdateMay 9, 20232 updates tracked since enumeration

NPPES CertifiedMay 9, 2023

✔ NPI 1053898130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209017857

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

17800 KEDZIE AVE, Hazel Crest, IL 60429

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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

Andrea Pawlak Aprn, Fnp-bc 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 ID9739439134

PECOS Enrollment IDI20180905003609

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

43 services42 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

31 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140048

Location2320 E 93rd StChicago, IL 60617 · Cook County

Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140208

Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60429 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.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINGER YVONNE CLINTON MD

Emergency Medicine