KATHLEEN MASELLA (R.N., AGNP-C) – General Practice Registered Nurse, NPI 1043752918

KATHLEEN MASELLA (R.N., AGNP-C) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials R.N., AGNP-C. They hold a License No. 209.015111 (IL). The NPI Number for KATHLEEN MASELLA (R.N., AGNP-C) is 1043752918

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN MASELLA (R.N., AGNP-C)
NPI
1043752918
Phone
(773) 230-8726
Address
1101 S STATE ST
Enumeration Date
9 November 2016
Last Update Date
9 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
70874930701415
Graduation Year
2015 (11 years ago)
PAC ID
5092090647
Group Practice PAC ID
2264476118
Professional Enrollment ID
I20170321002636
Address ID
IL604023483BE3340XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

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Provider Addresses for KATHLEEN MASELLA (R.N., AGNP-C)

  • State Place, 1101, South State Street, Printer's Row, Loop, South Loop, Chicago, Cook County, Illinois, 60605, United States

    603

    CHICAGO, IL 606053175

    Phone: (773) 230-8726

    Fax: (224) 610-7096

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $746.

Total Amount is formed as General ($746) + Research ($0) + Ownership ($0) = $746.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($342).

Total Amount

$746

General + Research + Ownership

Payments

28

Total payment records

General Amount

$746

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-03-21

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
I20170321002636INurse 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 60605)

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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: 2264476118View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YIN
Qualified AudiologistIL
Diagnostic RadiologyIL
Otolaryngology, Plastic And Reconstructive SurgeryTX
O T O L A R Y N G O L O G YIL
O T O L A R Y N G O L O G YIL
Qualified AudiologistIL
Qualified AudiologistIL
Qualified AudiologistIL
O T O L A R Y N G O L O G YIL

Reviews

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Frequently asked questions

Can I cross-check KATHLEEN MASELLA (R.N., AGNP-C) using NPI 1043752918?
NPI 1043752918 belongs to KATHLEEN MASELLA (R.N., AGNP-C); compare other details if you need extra assurance.
Active or inactive — what applies to KATHLEEN MASELLA (R.N., AGNP-C)?
You should see KATHLEEN MASELLA (R.N., AGNP-C) as active in CMS-hosted NPPES data.
What kind of doctor is KATHLEEN MASELLA (R.N., AGNP-C)?
KATHLEEN MASELLA (R.N., AGNP-C) is associated with General Practice Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KATHLEEN MASELLA (R.N., AGNP-C)?
Directory geography for KATHLEEN MASELLA (R.N., AGNP-C) centers on Chicago, Illinois.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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