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

Active since April 09, 2009PECOS EnrolledAccepts Medicare Assignment
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: August 23, 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 and is a graduate of Southern Illinois University School Of Medicine (2009).

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
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2009
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
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Accepted Insurance

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

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

Audrey Lynn Tanksley Md 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 ID8123277431
PECOS Enrollment IDI20121002000288
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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Audrey Tanksley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State 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 15 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.