DIANE KOURETAS (NP) – Nurse Practitioner, NPI 1821056417

DIANE KOURETAS (NP) is a healthcare provider. based in Carol stream, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209004582 (IL). The NPI Number for DIANE KOURETAS (NP) is 1821056417

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DIANE KOURETAS (NP)
NPI
1821056417
Phone
(630) 734-0200
Address
DEPT 206008 PO BOX 5990
Enumeration Date
3 May 2006
Last Update Date
17 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
2264494236
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20041102000157
Address ID
IL601376141GL885XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for DIANE KOURETAS (NP)

  • DEPT 206008 PO BOX 5990

    MEA ELK GROVE LLC

    CAROL STREAM, IL 601975990

    Phone: (630) 734-0200

    Fax: (630) 734-1560

    Type: Mailing

  • 800 BISTERFIELD RD

    ALEXIAN BROTHERS MEDICAL CENTER

    ELK GROVE, IL 60007

    Phone: (847) 437-5500

    Fax: (630) 734-1560

    Type: Location

  • 7 BLANCHARD CIR STE 102

    WHEATON, IL 601892038

    Phone: (630) 682-0500

    Fax: (630) 682-1078

    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: 2004-11-02

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
I20041102000157INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes165161$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen3838$0
81003Automated urinalysis test3029$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2323$0
View full utilization report →

Insurance plans in this area (ZIP 60197)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Anesthesiology, Pain ManagementIL
Internal Medicine, Pediatric MedicineIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

What is the registry number for DIANE KOURETAS (NP)?
The registry entry for DIANE KOURETAS (NP) shows NPI 1821056417.
Quick check: is DIANE KOURETAS (NP) active?
Public NPPES data shows DIANE KOURETAS (NP) with an active NPI status right now.
What type of care does DIANE KOURETAS (NP) provide?
DIANE KOURETAS (NP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit DIANE KOURETAS (NP) in Carol Stream, Illinois?
For routing, start with Carol Stream, Illinois for DIANE KOURETAS (NP), then verify phone and hours locally.
Can I export DIANE KOURETAS (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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