Andrea C Komsri, APRN, FNP-BC - Medicare Nurse Practitioner in Lake Forest, IL

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Andrea C Komsri, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Lake Forest, Illinois. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 1000 N Westmoreland Rd, Pavilion B, Level 1, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 534-3278.

Andrea C Komsri is licensed to practice in Illinois (license number 209.017146) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053805895.

Contact Information

Andrea C Komsri, APRN, FNP-BC
1000 N Westmoreland Rd, Pavilion B, Level 1,
Lake Forest, IL 60045
(847) 534-3278
Not Available

Map and Direction




Provider's Profile

Full NameAndrea C Komsri
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location1000 N Westmoreland Rd, Lake Forest, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrea C Komsri graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1053805895
  • Provider Enumeration Date: 06/15/2018
  • Last Update Date: 10/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8921359472
  • Enrollment ID: I20180921000844

Medical Identifiers

Medical identifiers for Andrea C Komsri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053805895NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.017146 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwestern Lake Forest HospitalLake forest, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143352

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrea C Komsri allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameMinuteclinic Diagnostic Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356485809
PECOS PAC ID: 8729171566
Enrollment ID: O20070910000607

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea C Komsri is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andrea C Komsri, APRN, FNP-BC
1000 N. Westmoreland Rd, Pavilion B, Level 1,
Lake Forest, IL 60045

Ph: (847) 534-3278		Andrea C Komsri, APRN, FNP-BC
1000 N Westmoreland Rd, Pavilion B, Level 1,
Lake Forest, IL 60045

Ph: (847) 534-3278

Reviews and Comments


Nurse Practitioner Nurses in Lake Forest, IL

Katie L Konopacz, CNP
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Practice Location: 1000 N Westmoreland Rd # B, Lake Forest, IL 60045
Phone: 847-535-3278    
Melissa Hilb, CPNP
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Practice Location: 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045
Phone: 847-295-1220    Fax: 847-295-1255
Melissa Katelyn Battista, APN
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Phone: 847-735-5050    Fax: 847-735-6284
Armando Comas, APRN, CNP
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Phone: 847-535-6150    Fax: 847-535-7801
Mrs. Cynthia H. Leaker, MSN
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Practice Location: 660 N Westmoreland Rd, Lake Forest Hospital Emergency Department, Lake Forest, IL 60045
Phone: 312-259-9943    
Carly Cooper, APRN
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Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-5600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.