TERRA L KOLACKI (APRN) – Nurse Practitioner, NPI 1033764998

TERRA L KOLACKI (APRN) is a healthcare provider. based in Aurora, Illinois. specializing in Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 277001612 (IL). The NPI Number for TERRA L KOLACKI (APRN) is 1033764998

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
TERRA L KOLACKI (APRN)
NPI
1033764998
Phone
(630) 820-9300
Address
2720 E NEW YORK ST STE 108
Enumeration Date
7 August 2019
Last Update Date
28 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308207045
Graduation Year
2019 (7 years ago)
PAC ID
3375872294
Group Practice PAC ID
5496759011
Professional Enrollment ID
I20190831000028
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

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Provider Addresses for TERRA L KOLACKI (APRN)

  • East New York Street, Aurora, Kane County, Illinois, 60505, United States

    AURORA, IL 605029507

    Phone: (630) 820-9300

    Type: Mailing

  • 444 N EOLA RD STE 110

    AURORA, IL 605029619

    Phone: (630) 692-5660

    Fax: (630) 692-5661

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190831000028INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496759011View full group profile
NameSpecialtyState
Internal MedicineIL
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for TERRA L KOLACKI (APRN)?
TERRA L KOLACKI (APRN) — NPI 1033764998 — is the standard way to identify this listing.
Is TERRA L KOLACKI (APRN) still practicing?
TERRA L KOLACKI (APRN) is currently listed as active in the public NPI registry.
What healthcare role does TERRA L KOLACKI (APRN) hold?
Scheduling teams often label TERRA L KOLACKI (APRN) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect TERRA L KOLACKI (APRN) on a map?
Expect Aurora, Illinois as a primary anchor for TERRA L KOLACKI (APRN) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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