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MS. KRISTINE M. HEALY MPH, PA-C
NPI 1417077512
Physician Assistant - Medical in Chicago, IL

Active since March 30, 2007PECOS Enrolled
2424 S PULASKI RD, DR. JORGE PRIETO FAMILY HEALTH CENTER, CHICAGO, IL 60623(773) 521-0750 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kristine M. Healy Mph, Pa-c NPPES

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

MS. KRISTINE M. HEALY MPH, PA-C (NPI 1417077512) is an individual medical provider in Chicago, Illinois, licensed in Illinois (085-00203) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417077512
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. KRISTINE M. HEALYCredential: MPH, PA-C
Location Address2424 S PULASKI RD, DR. JORGE PRIETO FAMILY HEALTH CENTERChicago, IL 60623-3718
Mailing Address240 E Huron St, Feinberg School Of Medicine, Pa Program, Suite 1-200Chicago, IL 60611-2909 · (312) 503-3157
Phone(773) 521-0750
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateJune 9, 2022
NPPES CertifiedJune 9, 2022
✔ NPI 1417077512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 085-00203
2424 S PULASKI RD, Chicago, IL 60623
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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 (PECOS)

Ms. Kristine M. Healy Mph, 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.

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.

CAROLYN ANN CONDIFF
Dental Hygienist
2424 S PULASKI RD
CHICAGO, IL 60623
Cook County (773) 521-0750
ALEXANDRA M REYES LCSW
Social Worker (Clinical)
2424 S PULASKI RD
CHICAGO, IL 60623
Cook County (773) 257-8339
ESMERALDA FLORES LCSW
Social Worker (Clinical)
2424 S PULASKI RD
CHICAGO, IL 60623
Cook County (773) 257-8339
JAMES GERARD DONAHUE LSW
Counselor (Mental Health)
2424 S PULASKI RD
CHICAGO, IL 60623
Cook County (773) 257-8339
NATIVIDAD CALIXTO
Social Worker (Clinical)
2424 S PULASKI RD
CHICAGO, IL 60623
Cook County (773) 225-6860
COOK COUNTY
Family Medicine
2424 S PULASKI RD
CHICAGO, IL 60623
Cook County (773) 521-0750
COOK COUNTY
Clinic/Center (Primary Care)
2424 S PULASKI RD
CHICAGO, IL 60623
Cook County (773) 521-0750

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 Kristine Healy's NPI number?

The NPI number for Kristine Healy is 1417077512. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Kristine Healy located?

Kristine Healy practices at 2424 S Pulaski Rd Dr. Jorge Prieto Family Health Center, Chicago, IL 60623. The listed phone number is (773) 521-0750.

What is Kristine Healy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kristine Healy enrolled in Medicare?

Yes. Kristine Healy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristine Healy was last updated on June 9, 2022. 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.