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

Kendall R Mosby-Thompson

Individual provider Registered Nurse · NPI 1154107845

Kendall R Mosby-Thompson is a Nurse Practitioner in Chicago, Illinois. Qualified in 2023, 3 years ago. Practices with Mount Sinai Community Foundation, a 246-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone: (773) 257-4750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2701 W 68th St, Chicago, IL 60629-1882 — (773) 884-9000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209028233 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041403454 (IL)

Record details

NPI number1154107845
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 7, 2023
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mount Sinai Community Foundation — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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