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KALYNA PETRUSHA PA-C
NPI 1275166191
Physician Assistant in Chicago, IL

Active since February 19, 2020PECOS Enrolled
3924 W FULLERTON AVE, CHICAGO, IL 60647(773) 276-2229 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2021, Feb 19, 2020 (2 updates tracked since 2020).

About Kalyna Petrusha Pa-c NPPES

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

KALYNA PETRUSHA PA-C (NPI 1275166191) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.008427) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275166191
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKALYNA PETRUSHACredential: PA-C
Location Address3924 W FULLERTON AVEChicago, IL 60647-2228
Mailing Address685 W Wrightwood Ave Apt 2sChicago, IL 60614-7969 · (248) 703-4782
Phone(773) 276-2229
Sole ProprietorYes
Enumeration DateFebruary 19, 2020
Last NPPES UpdateOctober 19, 20212 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
✔ NPI 1275166191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.008427
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3924 W FULLERTON AVE, Chicago, IL 60647
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kalyna Petrusha Pa-c 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 60647 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 7

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

QUEST DIAGNOSTICS LLC
Clinical Medical Laboratory
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229
MRS. CATALINA RUIZ APN
Nurse Practitioner
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229
DANA KROOP APRN
Nurse Practitioner (Family)
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229
DR. ELIAS MURCIANO M.D.
Family Medicine
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229
MR. JAMES E LANG M.D
Family Medicine
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229
CLAUDIA SANCHEZ M.D.
Family Medicine
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229
PRIMECARE COMMUNITY HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
3924 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 276-2229

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 Kalyna Petrusha's NPI number?

The NPI number for Kalyna Petrusha is 1275166191. It was assigned to this individual provider in the NPPES registry on February 19, 2020.

Where is Kalyna Petrusha located?

Kalyna Petrusha practices at 3924 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 276-2229.

What is Kalyna Petrusha's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kalyna Petrusha enrolled in Medicare?

Yes. Kalyna Petrusha is registered in the Medicare PECOS enrollment system.

What insurance does Kalyna Petrusha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kalyna Petrusha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kalyna Petrusha was last updated on October 19, 2021. 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.