Keisha Nicole House, - Medicare Nurse Practitioner in Chicago, IL

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Keisha Nicole House, is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. Her current practice location is 3240 W Division St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 413-7425.

Keisha Nicole House is licensed to practice in Illinois (license number 277000995) 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 1619400074.

Contact Information

Keisha Nicole House,
3240 W Division St,
Chicago, IL 60651-2405
(312) 413-7425
(312) 413-2588

Map and Direction




Provider's Profile

Full NameKeisha Nicole House
GenderFemale
SpecialityNurse Practitioner - Family
Location3240 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: 1619400074
  • Provider Enumeration Date: 04/04/2017
  • Last Update Date: 01/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1850650391
  • Enrollment ID: I20180109001248

Medical Identifiers

Medical identifiers for Keisha Nicole House such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619400074NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 277000995 (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. Keisha Nicole House allows following entities to bill medicare on her behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158
Entity NameAccess Community Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982783692
PECOS PAC ID: 9537076112
Enrollment ID: O20031204000985
Entity NameRush University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093819542
PECOS PAC ID: 5496658874
Enrollment ID: O20040202000228
Entity NameHouse Of Health & Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437864162
PECOS PAC ID: 0244693695
Enrollment ID: O20231031000253

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. Keisha Nicole House 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
Keisha Nicole House,
3240 W Division St,
Chicago, IL 60651-2405

Ph: (312) 413-7425		Keisha Nicole House,
3240 W Division St,
Chicago, IL 60651-2405

Ph: (312) 413-7425

Reviews and Comments


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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.