KENDALL R MOSBY-THOMPSON
NPI 1154107845
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since September 07, 2023PECOS EnrolledAccepts Medicare Assignment
1500 S FAIRFIELD AVE, CHICAGO, IL 60608(773) 257-4750 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kendall R Mosby-thompson NPPES

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

KENDALL R MOSBY-THOMPSON (NPI 1154107845) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209028233) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1154107845
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKENDALL R MOSBY-THOMPSON
Location Address1500 S FAIRFIELD AVEChicago, IL 60608-1782
Mailing Address1713 W Wallen AveChicago, IL 60626-5585 · (773) 653-9184
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
✔ NPI 1154107845 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 · 209028233
Also ListedRegistered NurseTaxonomy 163W00000X · License 041403454 (IL)
1500 S FAIRFIELD AVE, Chicago, IL 60608

Secondary Practice Location 1

Location 12701 W 68th StChicago, IL 60629-1882 · Phone (773) 884-9000

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

Kendall R Mosby-thompson 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 ID3577919935
PECOS Enrollment IDI20231023000384
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.

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140133
Location2701 W 68th StreetChicago, IL 60629 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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.

Pharmacist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Pharmacist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Nurse Practitioner (Family)
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Obstetrics & Gynecology
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Surgery
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Internal Medicine
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Student in an Organized Health Care Education/Training Program
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Psychologist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608

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 Kendall Mosby-thompson's NPI number?

The NPI number for Kendall Mosby-thompson is 1154107845. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Kendall Mosby-thompson located?

Kendall Mosby-thompson practices at 1500 S Fairfield Ave, Chicago, IL 60608. The listed phone number is (773) 257-4750.

What is Kendall Mosby-thompson's specialty?

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

Is Kendall Mosby-thompson enrolled in Medicare?

Yes. Kendall Mosby-thompson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kendall Mosby-thompson affiliated with any hospitals?

According to CMS data, Kendall Mosby-thompson is affiliated with Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Kendall Mosby-thompson was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.