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KIM TAVAJIAN AGACNP-DNP
NPI 1306291687
Nurse Practitioner - Acute Care in Winfield, IL

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
25 NORTH WINFIELD ROAD, WINFIELD, IL 60190(630) 933-2113(630) 933-4520 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Tavajian Agacnp-dnp NPPES

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

KIM TAVAJIAN AGACNP-DNP (NPI 1306291687) is an individual acute care provider in Winfield, Illinois, licensed in Illinois (209014079) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1306291687
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKIM TAVAJIANCredential: AGACNP-DNP
Location Address25 NORTH WINFIELD ROADWinfield, IL 60190-1295
Mailing Address25 North Winfield RoadWinfield, IL 60190-1295 · (630) 933-2113 · Fax (630) 933-4520
Phone(630) 933-2113
Fax(630) 933-4520
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 25, 2016
Last NPPES UpdateJune 20, 2016
✔ NPI 1306291687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 209014079
25 NORTH WINFIELD ROAD, Winfield, IL 60190
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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 and accepts Medicare assignment

Kim Tavajian Agacnp-dnp 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 ID2163714353
PECOS Enrollment IDI20231228000806
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60190 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.

MISS IZABELA AGNIESZKA HOLANDAY PA-C
Physician Assistant
25 NORTH WINFIELD ROAD
WINFIELD, IL 60190
Dupage County (630) 933-4257
DR. SCOTT M. SPORER M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
25 NORTH WINFIELD ROAD
WINFIELD, IL 60190
Dupage County (630) 682-5653
BRYAN FILL APN
Nurse Practitioner (Family)
25 NORTH WINFIELD ROAD, CDH-FLR 4-NORTH TOWER
WINFIELD, IL 60190
Dupage County (630) 933-4267
RENE LEE ELKS-CEDILLO APN
Nurse Practitioner
25 NORTH WINFIELD ROAD
WINFIELD, IL 60190
Dupage County (630) 933-2550
JOHN CLIFFORD TREANOR M.D.
Radiology (Diagnostic Radiology)
25 NORTH WINFIELD ROAD
WINFIELD, IL 60190
Dupage County (630) 933-4240
BLANCA L CONTRERAS PHARM D
Pharmacist
25 NORTH WINFIELD ROAD, SUITE 101
WINFIELD, IL 60190
Dupage County (630) 407-0340
MRS. JENNIFER LYNN ZIEMANN MOT, OTR/L
Occupational Therapist
25 NORTH WINFIELD ROAD
WINFIELD, IL 60190
Dupage County (630) 933-6293
MRS. SARA E. ORAVECZ OTR/L
Occupational Therapist (Pediatrics)
25 NORTH WINFIELD ROAD
WINFIELD, IL 60190
Dupage County (630) 933-1444

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 Kim Tavajian's NPI number?

The NPI number for Kim Tavajian is 1306291687. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Kim Tavajian located?

Kim Tavajian practices at 25 North Winfield Road, Winfield, IL 60190. The listed phone number is (630) 933-2113.

What is Kim Tavajian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kim Tavajian enrolled in Medicare?

Yes. Kim Tavajian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kim Tavajian affiliated with any hospitals?

According to CMS data, Kim Tavajian is affiliated with Jfk Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Kim Tavajian was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.