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

Bissy Kumpuckal, NP

Individual provider Family Nurse Practitioner · NPI 1053784645

Bissy Kumpuckal, NP is a Nurse Practitioner in Darien, Illinois. Qualified in 2015, 11 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2213 Hamilton Ln
Darien, IL 60561-4346
Phone: (630) 689-6553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209013257 (IL)

Record details

NPI number1053784645
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 5, 2015
Last updated in NPPESJanuary 5, 2016
Mailing address1333 Butterfield Rd, Ste 130, Downers Grove, IL 60515-5641

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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