Ji Na Khananisho, FNP - Medicare Nurse Practitioner in Chicago, IL

  1. Home
  2. Nurse Practitioner
  3. IL
  4. Chicago
Ji Na Khananisho, FNP is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. Her current practice location is 2720 W Division St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 772-7858.

Ji Na Khananisho is licensed to practice in Illinois (license number 041464552) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437812203.

Contact Information

Ji Na Khananisho, FNP
2720 W Division St,
Chicago, IL 60622-2853
(773) 772-7858
Not Available

Map and Direction




Provider's Profile

Full NameJi Na Khananisho
GenderFemale
SpecialityNurse Practitioner - Family
Location2720 W Division St, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437812203
  • Provider Enumeration Date: 10/19/2021
  • Last Update Date: 09/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981098076
  • Enrollment ID: I20220307002256

Medical Identifiers

Medical identifiers for Ji Na Khananisho such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437812203NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 041464552 (Illinois)Primary

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. Ji Na Khananisho allows following entities to bill medicare on her behalf.
Entity NameVivek Gupta, M.d., S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033300694
PECOS PAC ID: 3678668308
Enrollment ID: O20070926000910
Entity NameMidwest Express Care 2 Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548692890
PECOS PAC ID: 0547495467
Enrollment ID: O20131031001375

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. Ji Na Khananisho 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
Ji Na Khananisho, FNP
Po Box 3603,
Oak Brook, IL 60522-3603

Ph: (773) 772-7858		Ji Na Khananisho, FNP
2720 W Division St,
Chicago, IL 60622-2853

Ph: (773) 772-7858

Reviews and Comments


Nurse Practitioner Nurses in Chicago, IL

Mr. Gerald M. Bedore, APN/CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612
Phone: 312-996-7420    Fax: 312-413-8485
Stacy Ervin, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 401 N Michigan Ave, Chicago, IL 60611
Phone: 866-825-3227    
Angela Obondo Peterson, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 259 E Erie St Fl 17, Chicago, IL 60611
Phone: 312-926-6000    Fax: 312-926-0516
Katherine Cappitelli, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611
Phone: 312-472-4218    
Juliet Ibanez Panambo Kantoff, AGPCNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611
Phone: 312-635-0973    
Catherine L Chung, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2142 S Archer Ave, Chicago, IL 60616
Phone: 312-326-1408    
Tricia Muir, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 850 W Irving Park Rd, Chicago, IL 60613
Phone: 773-525-6780    

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.