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NANCY RENEE PROKUP CNP
NPI 1306155072
Nurse Practitioner - Family in Crystal Lake, IL

Active since September 29, 2010PECOS Enrolled
94.1/100
CMS Quality Rating
360 STATION DR, CRYSTAL LAKE, IL 60014(815) 338-6600(815) 455-8044 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2019, Oct 19, 2018, Mar 17, 2018 and 3 more (6 updates tracked since 2017).

About Nancy Renee Prokup Cnp NPPES

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

NANCY RENEE PROKUP CNP (NPI 1306155072) is an individual family provider in Crystal Lake, Illinois, licensed in Illinois (209008330) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1306155072
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNANCY RENEE PROKUPCredential: CNP
Location Address360 STATION DRCrystal Lake, IL 60014
Mailing Address360 Station DrCrystal Lake, IL 60014-7978 · (815) 338-6600 · Fax (815) 455-8044
Phone(815) 338-6600
Fax(815) 455-8044
Sole ProprietorNo
Enumeration DateSeptember 29, 2010
Last NPPES UpdateMarch 18, 20196 updates tracked since enumeration
✔ NPI 1306155072 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 · 209008330
360 STATION DR, Crystal Lake, IL 60014
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12507 N Richmond RdMcHenry, IL 60051-5407 · Phone (815) 338-6600 · Fax (815) 385-3255
Location 21925 Huntley RdWest Dundee, IL 60118-9301 · Phone (815) 338-6600 · Fax (847) 426-5162
Location 310350 Haligus RdHuntley, IL 60142-9545 · Phone (815) 338-6600 · Fax (847) 802-7112

Other Identifiers 1

Other209008330IL · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy Renee Prokup Cnp 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 60014 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

SANDRA JAESCHKE CNP
Nurse Practitioner
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 338-6600
MRS. JENNA T WINSKO ANP-BC
Nurse Practitioner (Adult Health)
360 STATION DR, SUITE 120
CRYSTAL LAKE, IL 60014
McHenry County (815) 477-8900
MARIA JUANITA AVINA RN
Registered Nurse (Diabetes Educator)
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-2382
CHRISTOPHER M NORTHERN PA
Physician Assistant
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-2330
KATHLEEN L KRETCHMER R.N., C.D.E
Registered Nurse (Diabetes Educator)
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 338-6600
NIRAL B PATEL M.D.
Family Medicine
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 338-6600
YANBING LI M.D.
Family Medicine
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 338-6600
CHILDREN'S PHYSICIAN GROUP
Pediatrics (Pediatric Cardiology)
360 STATION DR
CRYSTAL LAKE, IL 60014
McHenry County (815) 338-6600

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 Nancy Prokup's NPI number?

The NPI number for Nancy Prokup is 1306155072. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Nancy Prokup located?

Nancy Prokup practices at 360 Station Dr, Crystal Lake, IL 60014. The listed phone number is (815) 338-6600.

What is Nancy Prokup's specialty?

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

Is Nancy Prokup enrolled in Medicare?

Yes. Nancy Prokup is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nancy Prokup was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.