Frontier Healthcare Systems of Illinois LLC
NPI 1053772020ActiveOrganization· Nurse Practitioner, Family· Olympia Fields, IL
Nurse Practitioner, Family in Olympia Fields, Illinois, registered in NPPES in March 2016. The authorized official on file is Letasha Lewis, APN, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053772020 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 17, 2016 |
| Last updated in NPPES | Apr 21, 2026 |
| Certified by provider | Apr 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
| Clinic/Center, Pain | 261QP3300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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