MRS. SELENA CHANTAE KIRKWOOD NP
NPI 1104286392
Nurse Practitioner - Family in Oak Lawn, IL

Q: What is Selena Kirkwood's NPI number?

The NPI number for Selena Kirkwood is 1104286392. It was assigned to this individual provider in the NPPES registry on March 1, 2016. The provider is also known as Ms. Selena Chantae Bradley.

Q: What is Selena Kirkwood's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Selena Kirkwood was last updated on October 24, 2023. 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.

Active since March 01, 2016PECOS EnrolledAccepts Medicare Assignment

4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-5580 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2023, May 26, 2022, Mar 18, 2016 and 1 more (4 updates tracked since 2016).

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About Mrs. Selena Chantae Kirkwood Np NPPES

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

MRS. SELENA CHANTAE KIRKWOOD NP (NPI 1104286392) is an individual family provider in Oak Lawn, Illinois, licensed in Illinois (209013325) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Advocate Christ Hospital & Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104286392

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SELENA CHANTAE KIRKWOODCredential: NP

Location Address4440 W 95TH STOak Lawn, IL 60453-2600

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

Phone(708) 684-5580

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 1, 2016

Last NPPES UpdateOctober 24, 20234 updates tracked since enumeration

NPPES CertifiedOctober 24, 2023

✔ NPI 1104286392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209013325

4440 W 95TH ST, Oak Lawn, IL 60453

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Other Names 1

Other Name (5)Ms. Selena Chantae Bradley

Secondary Practice Locations 2

Location 14101 1st AveLyons, IL 60534-1028 · Phone (800) 323-8622 · Fax (224) 225-0394

Location 23 Erie Ct., West Suburban Medical CenterOak Park, IL 60302 · Phone (708) 383-6200 · Fax (405) 609-1318

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

Mrs. Selena Chantae Kirkwood Np 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 ID648565556

PECOS Enrollment IDI20160816002994

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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services28 patients

Hospital Affiliations CMS Care Compare

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

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 60453 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.

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.

DR. MARK ADRIAN FAASSE MD

Urology