1. Home
  2. Directory
  3. Illinois
  4. Evergreen Park
  5. Internal Medicine
  6. NPI Profile

AUDREY LYNN TANKSLEY MD
NPI 1750524518
Internal Medicine in Evergreen Park, IL

Active since April 09, 2009PECOS Enrolled
9449 S KEDZIE AVE, EVERGREEN PARK, IL 60805(833) 367-6699(847) 631-5607 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Audrey Lynn Tanksley Md NPPES

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

AUDREY LYNN TANKSLEY MD (NPI 1750524518) is an individual internal medicine provider in Evergreen Park, Illinois, licensed in Illinois (036-131059) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750524518
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameAUDREY LYNN TANKSLEYCredential: MD
Location Address9449 S KEDZIE AVEEvergreen Park, IL 60805-2325
Mailing Address9449 S Kedzie AveEvergreen Park, IL 60805-2325 · (224) 955-8069
Phone(833) 367-6699
Fax(847) 631-5607
Sole ProprietorNo
Enumeration DateApril 9, 2009
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1750524518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036-131059
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9449 S KEDZIE AVE, Evergreen Park, IL 60805
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, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Lynn Tanksley Md 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.

Medicare Billing Reassignments

9

Medicare enrollment records show Audrey Tanksley reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Community Health Network
2.5 mi
Federally Qualified Health Center (FQHC)
8234 S ASHLAND AVE
Chicago, IL 60620
  • Reassigned Medicare billing, Illinois enrollment
  • 413 clinicians in this Medicare group
NPI 1629156807 (773) 874-1400
Christian Community Health Center
3.0 mi
Federally Qualified Health Center (FQHC)
9718 S HALSTED ST
Chicago, IL 60628
  • Reassigned Medicare billing, Illinois enrollment
  • 27 clinicians in this Medicare group
NPI 1477726453 (773) 233-4100
Friend Family Health Center Inc
3.2 mi
Federally Qualified Health Center (FQHC)
1140 W 79TH ST
Chicago, IL 60620
  • Reassigned Medicare billing, Illinois enrollment
  • 132 clinicians in this Medicare group
NPI 1477175305 (773) 702-0660
Salaam Community Wellness Center
5.9 mi
Addiction Medicine
613 E 67TH ST
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
NPI 1376127225 (773) 207-3540
The University Of Chicago Medical Center
6.8 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
Innovative Platinum Care, Sc
14 mi
Family Medicine
2400 N ASHLAND AVE, SUITE 150
Chicago, IL 60614
  • Reassigned Medicare billing, Illinois enrollment
  • 29 clinicians in this Medicare group
NPI 1114397056 (773) 270-5600
Mathers Recovery LLC
39 mi
Methadone
420 AIRPORT RD STE C
Elgin, IL 60123
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group
NPI 1639614175 (815) 444-9999
Bloomington-Normal Treatment Center, LLC
106 mi
Methadone
303 LANDMARK DR STE 2B
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1225389638 (309) 808-2388
Champaign Treatment Center, LLC
115 mi
Rehabilitation, Substance Use Disorder
106 S COUNTRY FAIR DR STE C
Champaign, IL 61821
  • Reassigned Medicare billing, Illinois enrollment
NPI 1033460498 (217) 373-8200

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 60805 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$2.77 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,863 services$0.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

KRYSTAL MONIQUE PRESTON PHARMD
Pharmacist
9449 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Cook County (833) 367-6699
AUTUMN HEALTHCARE OF ILLINOIS
Clinic/Center (Adult Mental Health)
9449 S KEDZIE AVE, SUITE 142
EVERGREEN PK, IL 60805
Cook County (773) 420-3481
CELESTIAL HOME MEDICAL SUPPLY AND EQUIPMENT CORPORATION
Durable Medical Equipment & Medical Supplies
9449 S KEDZIE AVE, SUITE 213
EVERGREEN PARK, IL 60805
Cook County (773) 531-7392
MS. LISA LINDSEY-ROBINSON LCSW
Social Worker (Clinical)
9449 S KEDZIE AVE, STE 142
EVERGREEN PARK, IL 60805
Cook County (773) 420-3481
PATRICIA A HARDMON LCSW
Social Worker (Clinical)
9449 S KEDZIE AVE, STE 142
EVERGREEN PARK, IL 60805
Cook County (773) 420-3481
DR. MAYA IZABEL GREEN MD
Family Medicine
9449 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Cook County (833) 367-6699
RW NURSESTAFFERS
Home Health
9449 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Cook County (773) 386-3439
MS. TIARA DAMPER DT
Specialist
9449 S KEDZIE AVE, SUITE 212
EVERGREEN PARK, IL 60805
Cook County (773) 445-2195

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 Audrey Tanksley's NPI number?

The NPI number for Audrey Tanksley is 1750524518. It was assigned to this individual provider in the NPPES registry on April 9, 2009.

Where is Audrey Tanksley located?

Audrey Tanksley practices at 9449 S Kedzie Ave, Evergreen Park, IL 60805. The listed phone number is (833) 367-6699.

What is Audrey Tanksley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Audrey Tanksley enrolled in Medicare?

Yes. Audrey Tanksley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Audrey Tanksley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Tanksley reassigns Medicare benefits to 9 organizations: Access Community Health Network (Chicago, IL), Christian Community Health Center (Chicago, IL), Friend Family Health Center Inc (Chicago, IL), Salaam Community Wellness Center (Chicago, IL), The University Of Chicago Medical Center (Chicago, IL) and 4 more organizations, 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 Audrey Tanksley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audrey Tanksley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Audrey Tanksley 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 Audrey Tanksley was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.