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PAMELA KOMANIECKI APRN, PMHNP-BC
NPI 1093427718
Nurse Practitioner - Psychiatric/Mental Health in Dekalb, IL

Active since December 14, 2022PECOS Enrolled
12 HEALTH SERVICES DR, DEKALB, IL 60115(815) 756-4875(815) 756-2944 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 13, 2024, Dec 14, 2022 (2 updates tracked since 2022).

About Pamela Komaniecki Aprn, Pmhnp-bc NPPES

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

PAMELA KOMANIECKI APRN, PMHNP-BC (NPI 1093427718) is an individual psychiatric/mental health provider in Dekalb, Illinois, licensed in Illinois (209.030218) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093427718
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePAMELA KOMANIECKICredential: APRN, PMHNP-BC
Location Address12 HEALTH SERVICES DRDekalb, IL 60115-9637
Mailing AddressPo Box 1109Dekalb, IL 60115-7109 · (815) 756-4875 · Fax (815) 756-2944
Phone(815) 756-4875
Fax(815) 756-2944
Sole ProprietorYes
Enumeration DateDecember 14, 2022
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1093427718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.030218
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 049.1467133 (IL)
12 HEALTH SERVICES DR, Dekalb, IL 60115
Open in Google Maps ↗

Other Identifiers 1

Medicaid474579189001IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Komaniecki Aprn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Pamela Komaniecki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dekalb Behavioral Health Foundation, Inc.
Same address
Rehabilitation, Substance Use Disorder
12 HEALTH SERVICES DR, DASA
Dekalb, IL 60115
  • Reassigned Medicare billing, Illinois enrollment
  • 30 clinicians in this Medicare group
NPI 1437519345 (815) 756-4875

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60115 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

JENNIFER L WEBER LSW, CADC
Social Worker (Clinical)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
CHRISTI JOHNSON B.S., M.H.P.
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
CHRISTINE ALEXANDRA ESPE MAXWELL MSED, LCPC, NCC
Counselor
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
TATJANA N WILLIAMS LSW
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
JASMINE YOUNG
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
CASSIE DODD
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
REBECCA LEACH
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
VALERIE PENA-HERNANDEZ
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875

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 Pamela Komaniecki's NPI number?

The NPI number for Pamela Komaniecki is 1093427718. It was assigned to this individual provider in the NPPES registry on December 14, 2022.

Where is Pamela Komaniecki located?

Pamela Komaniecki practices at 12 Health Services Dr, Dekalb, IL 60115. The listed phone number is (815) 756-4875.

What is Pamela Komaniecki's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Pamela Komaniecki enrolled in Medicare?

Yes. Pamela Komaniecki is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pamela Komaniecki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Komaniecki reassigns Medicare benefits to Dekalb Behavioral Health Foundation, Inc. (Dekalb, IL). The 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 Pamela Komaniecki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pamela Komaniecki was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.