MS. KATHLEEN PATRICIA MICKOW FNP-BC
NPI 1245533264
Nurse Practitioner - Family in Evanston, IL

Q: What is Kathleen Mickow's NPI number?

The NPI number for Kathleen Mickow is 1245533264. It was assigned to this individual provider in the NPPES registry on December 13, 2010.

Q: What is Kathleen Mickow's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Mickow was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 13, 2010PECOS Enrolled

1942 DEMPSTER ST, EVANSTON, IL 60202(847) 869-6315 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Kathleen Patricia Mickow Fnp-bc NPPES

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

MS. KATHLEEN PATRICIA MICKOW FNP-BC (NPI 1245533264) is an individual family provider in Evanston, Illinois, licensed in Illinois (209.008533) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245533264

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KATHLEEN PATRICIA MICKOWCredential: FNP-BC

Location Address1942 DEMPSTER STEvanston, IL 60202-1016

Mailing Address205 Sheffield LnVernon Hills, IL 60061-2929 · (630) 857-6014

Phone(847) 869-6315

Sole ProprietorYes

Enumeration DateDecember 13, 2010

Last NPPES UpdateOctober 25, 2019

✔ NPI 1245533264 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 · 209.008533

1942 DEMPSTER ST, Evanston, IL 60202

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kathleen Patricia Mickow Fnp-bc 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 60202 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 10

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

JAMES A LOVELL FEDERAL HEALTH CARE CENTER

Clinic/Center (VA)