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KRISTINE L BAUTISTA
NPI 1689220261
Nurse Practitioner - Family in Chicago, IL

Active since August 10, 2019PECOS Enrolled
5815 S MARYLAND AVE # A621, CHICAGO, IL 60637(773) 702-1220 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 4, 2023, Feb 13, 2020, Aug 10, 2019 (3 updates tracked since 2019).

About Kristine L Bautista NPPES

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

KRISTINE L BAUTISTA (NPI 1689220261) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.019797) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689220261
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINE L BAUTISTA
Location Address5815 S MARYLAND AVE # A621Chicago, IL 60637-1463
Mailing Address5700 S Maryland AveChicago, IL 60637-1426
Phone(773) 702-1220
Sole ProprietorNo
Enumeration DateAugust 10, 2019
Last NPPES UpdateDecember 18, 20233 updates tracked since enumeration
NPPES CertifiedDecember 18, 2023
✔ NPI 1689220261 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 · 209.019797
5815 S MARYLAND AVE # A621, Chicago, IL 60637
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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)

Kristine L Bautista 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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.

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 Bautista's NPI number?

The NPI number for Kristine Bautista is 1689220261. It was assigned to this individual provider in the NPPES registry on August 10, 2019.

Where is Kristine Bautista located?

Kristine Bautista practices at 5815 S Maryland Ave # A621, Chicago, IL 60637. The listed phone number is (773) 702-1220.

What is Kristine Bautista's specialty?

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

Is Kristine Bautista enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristine Bautista was last updated on December 18, 2023. 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.