KIYANA M. HURT (FNP) – Nurse Practitioner, NPI 1083597355

KIYANA M. HURT (FNP) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209032320 (IL). The NPI Number for KIYANA M. HURT (FNP) is 1083597355

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KIYANA M. HURT (FNP)
NPI
1083597355
Phone
(773) 768-5000
Address
9119 S EXCHANGE AVE
Enumeration Date
25 July 2025
Last Update Date
26 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7737685000
Graduation Year
2024 (2 years ago)
PAC ID
4981180692
Group Practice PAC ID
6608765417
Professional Enrollment ID
I20260113001642
Address ID
IL606174225CH9119XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KIYANA M. HURT (FNP)

  • 9119 S EXCHANGE AVE

    CHICAGO, IL 606174225

    Phone: (773) 768-5000

    Fax: (773) 978-8367

    Type: Mailing

  • 22836 EAST DR

    RICHTON PARK, IL 604712312

    Phone: (708) 833-9383

    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: 2026-01-13

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
I20260113001642INurse 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 60617)

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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: 6608765417View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIN
Family PracticeTX
Nurse PractitionerIL
Internal Medicine, Geriatric MedicineIL
-IL
Clinical PsychologistIL

Reviews

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Frequently asked questions

How do I look up KIYANA M. HURT (FNP) by NPI?
Use NPI 1083597355 when you need to reference KIYANA M. HURT (FNP) in forms, claims, or directories.
Does this profile mean KIYANA M. HURT (FNP) is currently active?
Yes — KIYANA M. HURT (FNP) appears active in the national provider directory.
Does KIYANA M. HURT (FNP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for KIYANA M. HURT (FNP). Clinical services aligned with this taxonomy classification.
Does KIYANA M. HURT (FNP) practice in Illinois?
You will see Chicago, Illinois on file for KIYANA M. HURT (FNP) alongside any extra practice locations.
How can I contact KIYANA M. HURT (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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