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KEISHA NICOLE HOUSE
NPI 1619400074
Nurse Practitioner - Family in Chicago, IL

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
3240 W DIVISION ST, CHICAGO, IL 60651(312) 413-7425(312) 413-2588 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Keisha Nicole House NPPES

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

KEISHA NICOLE HOUSE (NPI 1619400074) is an individual family provider in Chicago, Illinois, licensed in Illinois (277000995) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619400074
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEISHA NICOLE HOUSE
Location Address3240 W DIVISION STChicago, IL 60651-2405
Mailing Address3240 W Division StChicago, IL 60651-2405 · (312) 413-7425 · Fax (312) 413-2588
Phone(312) 413-7425
Fax(312) 413-2588
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 4, 2017
Last NPPES UpdateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1619400074 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 · 277000995
3240 W DIVISION ST, Chicago, IL 60651
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Keisha Nicole House 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 ID1850650391
PECOS Enrollment IDI20180109001248
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 Reassignments

6

Medicare enrollment records show Keisha House reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Community Health Network
0.5 mi
Federally Qualified Health Center (FQHC)
3202 W NORTH AVE
Chicago, IL 60647
  • Reassigned Medicare billing, Illinois enrollment
  • 413 clinicians in this Medicare group
NPI 1760552541 (773) 489-6333
The Board Of Trustees Of The University Of Illinois
1.9 mi
Dermatology
808 S WOOD ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1265651434 (312) 996-6966
Rush University Medical Center
2.9 mi
Diagnostic Radiology
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
NPI 1184269425 (312) 563-4270
Vpa PC
12 mi
Family Medicine
117W755 BUTTERFIELD ROAD, UNIT 104
Oakbrook Terrace, IL 60181
  • Reassigned Medicare billing, Illinois enrollment
  • 189 clinicians in this Medicare group
NPI 1174925663 (312) 818-4650
House Of Health & Wellness LLC
22 mi
Primary Care
220 153RD PL
Calumet City, IL 60409
  • Reassigned Medicare billing, Illinois enrollment
NPI 1437864162 (312) 967-5707
Harmonycares Complete Health Services, PLLC
676 mi
Family Medicine
317 E CAPITOL ST STE 200
Jackson, MS 39201
  • Reassigned Medicare billing, Illinois enrollment
  • 37 clinicians in this Medicare group
NPI 1093543902 (855) 396-9643

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60651 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 9

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

KELLY THERESE MOORE RN, DNP STUDENT
Registered Nurse (Ambulatory Care)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
VERENICE CHAVEZ
Registered Nurse (Emergency)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
CELINA CANTU LCSW
Social Worker (Clinical)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
BERNARD J VONDERHAAR DNP
Nurse Practitioner (Psychiatric/Mental Health)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
MR. MICHAEL ANTHONY HUYCK RN
Nurse Practitioner (Family)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
MITCHELL KORDZIKOWSKI
Nurse Practitioner (Psychiatric/Mental Health)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Clinic/Center (Federally Qualified Health Center (FQHC))
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Health Educator
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 996-2000

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 Keisha House's NPI number?

The NPI number for Keisha House is 1619400074. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Keisha House located?

Keisha House practices at 3240 W Division St, Chicago, IL 60651. The listed phone number is (312) 413-7425.

What is Keisha House's specialty?

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

Is Keisha House enrolled in Medicare?

Yes. Keisha House 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 organizations bill Medicare for Keisha House's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keisha House reassigns Medicare benefits to 6 organizations: Access Community Health Network (Chicago, IL), The Board Of Trustees Of The University Of Illinois (Chicago, IL), Rush University Medical Center (Chicago, IL), Vpa PC (Oakbrook Terrace, IL), House Of Health & Wellness LLC (Calumet City, IL) and 1 more organization, listed in the Medicare section above. Each 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 Keisha House's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keisha House accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Keisha House 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 Keisha House was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.