MISS KAWANA FANTASIA THARPS DNP, APRN, FNP-C
NPI 1154949857
Nurse Practitioner - Family in Chicago, IL

Active since July 09, 2020PECOS EnrolledAccepts Medicare Assignment
4747 N KEDZIE AVE, CHICAGO, IL 60625(312) 666-3494 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2022, Jul 9, 2020 (2 updates tracked since 2020).

About Miss Kawana Fantasia Tharps Dnp, Aprn, Fnp-c NPPES

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

MISS KAWANA FANTASIA THARPS DNP, APRN, FNP-C (NPI 1154949857) is an individual family provider in Chicago, Illinois, licensed in Illinois (209024591) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1154949857
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS KAWANA FANTASIA THARPSCredential: DNP, APRN, FNP-C
Location Address4747 N KEDZIE AVEChicago, IL 60625-4420
Mailing Address4747 N Kedzie AveChicago, IL 60625-4420 · (312) 666-3494
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 9, 2020
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1154949857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209024591
Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License 041436212 (IL)
4747 N KEDZIE AVE, Chicago, IL 60625

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Kawana Fantasia Tharps Dnp, Aprn, Fnp-c 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 ID2466828371
PECOS Enrollment IDI20221018002193
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 Kawana Tharps reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
4759 N KEDZIE AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
  • 383 clinicians in this Medicare group

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 60625 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 11

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

Family Medicine
4747 N KEDZIE AVE
CHICAGO, IL 60625
Pediatrics
4747 N KEDZIE AVE
CHICAGO, IL 60625
Nurse Practitioner
4747 N KEDZIE AVE
CHICAGO, IL 60625
Family Medicine
4747 N KEDZIE AVE
CHICAGO, IL 60625
Nurse Practitioner (Family)
4747 N KEDZIE AVE
CHICAGO, IL 60625
Family Medicine
4747 N KEDZIE AVE
CHICAGO, IL 60625
Counselor (Professional)
4747 N KEDZIE AVE
CHICAGO, IL 60625
Pediatrics
4747 N KEDZIE AVE
CHICAGO, IL 60625

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 Kawana Tharps's NPI number?

The NPI number for Kawana Tharps is 1154949857. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Kawana Tharps located?

Kawana Tharps practices at 4747 N Kedzie Ave, Chicago, IL 60625. The listed phone number is (312) 666-3494.

What is Kawana Tharps's specialty?

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

Is Kawana Tharps enrolled in Medicare?

Yes. Kawana Tharps 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.

Which organization bills Medicare for Kawana Tharps's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kawana Tharps reassigns Medicare benefits to Erie Family Health Center, Inc (Chicago, 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 Kawana Tharps'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 Kawana Tharps was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.