SAMANTHA KORNHAUSER (APN-CNP) – Nurse Practitioner, NPI 1255941928

SAMANTHA KORNHAUSER (APN-CNP) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN-CNP. They hold a License No. 209.019888 (IL). The NPI Number for SAMANTHA KORNHAUSER (APN-CNP) is 1255941928

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA KORNHAUSER (APN-CNP)
NPI
1255941928
Phone
Not provided
Address
1425 W BYRON ST APT 3W
Enumeration Date
6 August 2020
Last Update Date
22 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8475034222
Graduation Year
2019 (7 years ago)
PAC ID
4284047960
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20210120000558
Address ID
IL602011700EV2650XAVEX314
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for SAMANTHA KORNHAUSER (APN-CNP)

  • 1425 W BYRON ST APT 3W

    CHICAGO, IL 606132891

    Phone:

    Type: Mailing

  • 2400 N ASHLAND AVE

    CHICAGO, IL 606142021

    Phone: (773) 270-5600

    Type: Location

  • 2400 N Ashland Ave

    Chicago, IL 606142021

    Phone: (773) 270-5600

    Type: Location

  • 2150 PFINGSTEN RD STE 3000

    GLENVIEW, IL 600261314

    Phone: (847) 657-1700

    Fax: (847) 657-1715

    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: 2021-01-20

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
I20210120000558INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes246127$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes158108$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes128118$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5454$0
View full utilization report →

Insurance plans in this area (ZIP 60613)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

What is the standard ID for SAMANTHA KORNHAUSER (APN-CNP) in the U.S.?
In the U.S., SAMANTHA KORNHAUSER (APN-CNP) is identified by NPI 1255941928.
Quick check: is SAMANTHA KORNHAUSER (APN-CNP) active?
Public NPPES data shows SAMANTHA KORNHAUSER (APN-CNP) with an active NPI status right now.
What services align with SAMANTHA KORNHAUSER (APN-CNP)'s listing?
SAMANTHA KORNHAUSER (APN-CNP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SAMANTHA KORNHAUSER (APN-CNP) tied to Chicago, Illinois?
If you are local to Chicago, Illinois, SAMANTHA KORNHAUSER (APN-CNP) may be relevant to your search.
Why is information missing for SAMANTHA KORNHAUSER (APN-CNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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