Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea C Komsri, APRN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1053805895

Andrea C Komsri, APRN, FNP-BC is a Nurse Practitioner in Lake Forest, Illinois. Qualified in 2017, 9 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2018
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1000 N Westmoreland Rd Pavilion B Level 1
Lake Forest, IL 60045
Phone: (847) 534-3278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2211 S Eola Rd, Aurora, IL 60503-6485 — (866) 389-2727

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.017146 (IL)

Record details

NPI number1053805895
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-BC
Sole proprietorNo
NPI enumeratedJune 15, 2018
Last updated in NPPESOctober 30, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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