LYNDA EILEEN PETTIGREW APN
NPI 1174869994
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Q: What is Lynda Pettigrew's NPI number?

The NPI number for Lynda Pettigrew is 1174869994. It was assigned to this individual provider in the NPPES registry on December 26, 2012.

Q: What is Lynda Pettigrew's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lynda Pettigrew was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 December 26, 2012PECOS Enrolled

5730 W ROOSEVELT RD, CHICAGO, IL 60644(773) 413-1700 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lynda Eileen Pettigrew Apn NPPES

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

LYNDA EILEEN PETTIGREW APN (NPI 1174869994) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209010016) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174869994

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLYNDA EILEEN PETTIGREWCredential: APN

Location Address5730 W ROOSEVELT RDChicago, IL 60644-1580

Mailing Address1442 W Fullerton Ave, 3aChicago, IL 60614-2797 · (773) 726-2113

Phone(773) 413-1700

Sole ProprietorNo

Enumeration DateDecember 26, 2012

✔ NPI 1174869994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209010016

5730 W ROOSEVELT RD, Chicago, IL 60644

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lynda Eileen Pettigrew Apn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60644 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.

CAPRI SMITH

Nurse Practitioner (Psychiatric/Mental Health)