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CAMPSIE GROTHENDIECK
NPI 1104933944
Nurse Practitioner - Family in Skokie, IL

Active since August 25, 2006PECOS Enrolled
94.1/100
CMS Quality Rating
10024 SKOKIE BLVD, SUITE 304, SKOKIE, IL 60077(847) 677-8577(847) 677-8574 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Campsie Grothendieck NPPES

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

CAMPSIE GROTHENDIECK (NPI 1104933944) is an individual family provider in Skokie, Illinois, licensed in Illinois (209000404) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104933944
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAMPSIE GROTHENDIECK
Location Address10024 SKOKIE BLVD, SUITE 304Skokie, IL 60077-9944
Mailing Address10024 Skokie Blvd, Suite 304Skokie, IL 60077-9944 · (847) 677-8577 · Fax (847) 677-8574
Phone(847) 677-8577
Fax(847) 677-8574
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateNovember 8, 2011
✔ NPI 1104933944 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 · 209000404
10024 SKOKIE BLVD, Skokie, IL 60077
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINQ47754IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Campsie Grothendieck 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.

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
241 services163 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60077 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
2 suppliers19 claims19 services$43.36 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers33 claims33 services$43.47 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.21 avg. paid by Medicare
Manual wheelchair accessory, wheel lock brake extension (handle), each E0961
DME-Wheelchairs · category DD021N
1 supplier14 claims28 services$1.68 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier13 claims26 services$2.19 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier94 claims94 services$10.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

DR. ARYEH SOVA PH.D.
Psychologist (Clinical)
10024 SKOKIE BLVD, SUITE 222
SKOKIE, IL 60077
Cook County (312) 564-5952
YOUR A-GAME
Psychologist (Clinical)
10024 SKOKIE BLVD, SUITE #312
SKOKIE, IL 60077
Cook County (847) 602-1380
MS. KIRAN S SIDDIQUI LCPC
Counselor (Professional)
10024 SKOKIE BLVD, SUITE 316
SKOKIE, IL 60077
Cook County (773) 934-2999
THE DEPRESSION CLINIC OF CHICAGO, LLC
Clinic/Center (Adult Mental Health)
10024 SKOKIE BLVD, SUITE 311
SKOKIE, IL 60077
Cook County (800) 322-0949
ELEANOR AISENBERG, PSY.D. INC.
Psychologist (Clinical)
10024 SKOKIE BLVD, SUITE 312
SKOKIE, IL 60077
Cook County (312) 972-9994
DR. JANICE L JOHNSON MD
Obstetrics & Gynecology
10024 SKOKIE BLVD, SUITE 308
SKOKIE, IL 60077
Cook County (224) 233-1020
STEPHANIE SMITH
Social Worker (Clinical)
10024 SKOKIE BLVD
SKOKIE, IL 60077
Cook County (847) 220-7232
MICHAEL AISENBERG PSY.D.
Psychologist (Clinical)
10024 SKOKIE BLVD, SUITE #312
SKOKIE, IL 60077
Cook County (847) 602-1380

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 Campsie Grothendieck's NPI number?

The NPI number for Campsie Grothendieck is 1104933944. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Campsie Grothendieck located?

Campsie Grothendieck practices at 10024 Skokie Blvd Suite 304, Skokie, IL 60077. The listed phone number is (847) 677-8577.

What is Campsie Grothendieck's specialty?

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

Is Campsie Grothendieck enrolled in Medicare?

Yes. Campsie Grothendieck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Campsie Grothendieck was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.