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HANNA MARIE KINGSTAD
NPI 1366176612
Physician Assistant - Surgical in Evanston, IL

Active since July 13, 2022PECOS EnrolledAccepts Medicare Assignment
2650 RIDGE AVE., WALGREEN 3507, EVANSTON, IL 60201(847) 570-2827(847) 733-5005 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 6, 2024, Jul 13, 2022 (2 updates tracked since 2022).

About Hanna Marie Kingstad NPPES

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

HANNA MARIE KINGSTAD (NPI 1366176612) is an individual surgical provider in Evanston, Illinois, licensed in Illinois (085010156) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366176612
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameHANNA MARIE KINGSTAD
Location Address2650 RIDGE AVE., WALGREEN 3507Evanston, IL 60201-1718
Mailing Address2650 Ridge Ave., Walgreen 3507Evanston, IL 60201-1718 · (847) 570-2827 · Fax (847) 733-5005
Phone(847) 570-2827
Fax(847) 733-5005
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 13, 2022
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1366176612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085010156
2650 RIDGE AVE., Evanston, IL 60201
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 and accepts Medicare assignment

Hanna Marie Kingstad 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 ID1052754108
PECOS Enrollment IDI20240206003012
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.

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

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.

JAMES FRANCIS KELLY DO
Hospitalist
2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201
Cook County (847) 570-1010
DR. MARY TILLEY JENKINS VOGEL MD
Obstetrics & Gynecology (Gynecologic Oncology)
2650 RIDGE AVE., KELLOGG CANCER CENTER
EVANSTON, IL 60201
Cook County (847) 570-2639
SUNITHA CHITRA SURESH MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2650 RIDGE AVE., SUITE 1420
EVANSTON, IL 60201
Cook County (847) 570-2860
BHAVIK KHAJURIA
Radiology (Diagnostic Radiology)
2650 RIDGE AVE., DEPT. OF RADIOLOGY
EVANSTON, IL 60201
Cook County (847) 570-2477
WAJDEY NESHEIWAT PA-C
Physician Assistant (Surgical)
2650 RIDGE AVE., DEPT. OF SURGERY WALGREEN 2507
EVANSTON, IL 60201
Cook County (847) 570-2560
AYMAN NAJIB MD
Hospitalist
2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201
Cook County (847) 570-1010
MATTHEW JOSEPH SADLOWSKY APN-CRNA
Nurse Anesthetist, Certified Registered
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA
EVANSTON, IL 60201
Cook County (847) 570-2760
KYLE PETTY MD
Anesthesiology
2650 RIDGE AVE., DEPT. OF ANESTHESIA
EVANSTON, IL 60201
Cook County (847) 570-2760

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 Hanna Kingstad's NPI number?

The NPI number for Hanna Kingstad is 1366176612. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Hanna Kingstad located?

Hanna Kingstad practices at 2650 Ridge Ave. Walgreen 3507, Evanston, IL 60201. The listed phone number is (847) 570-2827.

What is Hanna Kingstad's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Hanna Kingstad enrolled in Medicare?

Yes. Hanna Kingstad 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 Hanna Kingstad affiliated with any hospitals?

According to CMS data, Hanna Kingstad is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Hanna Kingstad was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.