KETINA NIEWIAROWSKI FNP
NPI 1316306152
Nurse Practitioner - Family in Des Plaines, IL

Active since February 22, 2016PECOS EnrolledAccepts Medicare Assignment
77 RAND RD, DES PLAINES, IL 60016(847) 298-0310(847) 298-5939 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 20, 2023, Feb 22, 2016 (2 updates tracked since 2016).

About Ketina Niewiarowski Fnp NPPES

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

KETINA NIEWIAROWSKI FNP (NPI 1316306152) is an individual family provider in Des Plaines, Illinois, licensed in Illinois (209.013558) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elk Grove Vlg, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1316306152
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKETINA NIEWIAROWSKICredential: FNP
Location Address77 RAND RDDes Plaines, IL 60016-1005
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Fax(847) 298-5939
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 22, 2016
Last NPPES UpdateFebruary 20, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2023
✔ NPI 1316306152 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 · 209.013558
77 RAND RD, Des Plaines, IL 60016

Secondary Practice Location 1

Location 1930 Elk Grove Town CtrElk Grove Vlg, IL 60007-3754 · Phone (847) 439-4710

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ketina Niewiarowski Fnp 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 ID7719269356
PECOS Enrollment IDI20170117000512
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.

Medicare Billing Reassignment

Medicare enrollment records show Ketina Niewiarowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
229 services197 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
128 services128 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
65 services63 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
47 services45 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
41 services39 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60016 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 20

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

Internal Medicine
77 RAND RD
DES PLAINES, IL 60016
Internal Medicine
77 RAND RD
DES PLAINES, IL 60016
Pediatrics
77 RAND RD
DES PLAINES, IL 60016
Family Medicine
77 RAND RD
DES PLAINES, IL 60016
Internal Medicine
77 RAND RD
DES PLAINES, IL 60016
Family Medicine
77 RAND RD
DES PLAINES, IL 60016
Pediatrics
77 RAND RD
DES PLAINES, IL 60016
Family Medicine
77 RAND RD
DES PLAINES, IL 60016

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 Ketina Niewiarowski's NPI number?

The NPI number for Ketina Niewiarowski is 1316306152. It was assigned to this individual provider in the NPPES registry on February 22, 2016.

Where is Ketina Niewiarowski located?

Ketina Niewiarowski practices at 77 Rand Rd, Des Plaines, IL 60016. The listed phone number is (847) 298-0310.

What is Ketina Niewiarowski's specialty?

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

Is Ketina Niewiarowski enrolled in Medicare?

Yes. Ketina Niewiarowski 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.

Which organization bills Medicare for Ketina Niewiarowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ketina Niewiarowski reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ketina Niewiarowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ketina Niewiarowski accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ketina Niewiarowski 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 Ketina Niewiarowski was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.