KATHY WAJDA
NPI 1205327590
Nurse Practitioner - Adult Health in Long Grove, IL

Q: What is Kathy Wajda's NPI number?

The NPI number for Kathy Wajda is 1205327590. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Q: What is Kathy Wajda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kathy Wajda was last updated on December 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 23, 2018PECOS EnrolledAccepts Medicare Assignment

3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047(847) 719-2220(847) 719-2265 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 13, 2022, May 23, 2018 (2 updates tracked since 2018).

On this page

About Kathy Wajda NPPES

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

KATHY WAJDA (NPI 1205327590) is an individual adult health provider in Long Grove, Illinois, licensed in Illinois (209016851) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Advocate Lutheran General Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205327590

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKATHY WAJDA

Location Address3880 SALEM LAKE DR STE FLong Grove, IL 60047-5292

Mailing Address3880 Salem Lake Dr Ste FLong Grove, IL 60047-5292 · (847) 719-2220 · Fax (847) 719-2265

Phone(847) 719-2220

Fax(847) 719-2265

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 23, 2018

Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration

NPPES CertifiedDecember 13, 2022

✔ NPI 1205327590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IL · 209016851

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209-016851 (IL)

3880 SALEM LAKE DR STE F, Long Grove, IL 60047

Open in Google Maps ↗

Other Identifiers 1

Medicaid209016851IL

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

Kathy Wajda 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 ID3274889605

PECOS Enrollment IDI20180627002022

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

43 services43 patients

Hospital Affiliations CMS Care Compare

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

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140223

Location1775 Dempster StPark Ridge, IL 60068 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60047 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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. DANIEL R. DI IORIO MD, DC

Family Medicine