MISS CAILYN ELIZABETH KELLY (AUD, CCC-A) – Audiologist, NPI 1104005834

MISS CAILYN ELIZABETH KELLY (AUD, CCC-A) is a healthcare provider. based in Carol stream, Illinois. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD, CCC-A. They hold a License No. 877 (MA). The NPI Number for MISS CAILYN ELIZABETH KELLY (AUD, CCC-A) is 1104005834

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MISS CAILYN ELIZABETH KELLY (AUD, CCC-A)
NPI
1104005834
Phone
(617) 479-7503
Address
DEPT 3298
Enumeration Date
30 October 2007
Last Update Date
20 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177741717
Graduation Year
2007 (19 years ago)
PAC ID
2163512989
Group Practice PAC ID
4486540275
Professional Enrollment ID
I20071218000040
Address ID
MA021690960QU500XXSTXX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

288 QUALIFIED AUDIOLOGIST in MA

Loading map...

Provider Addresses for MISS CAILYN ELIZABETH KELLY (AUD, CCC-A)

  • DEPT 3298

    CAROL STREAM, IL 601323298

    Phone: (617) 479-7503

    Type: Mailing

  • 2, Congress Street, South Quincy, Quincy, Norfolk County, Massachusetts, 02169, United States

    QUINCY, MA 021690960

    Phone: (617) 479-7503

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2007-12-18

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
I20071218000040IQualified AudiologistMATBD

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
92557Comprehensive hearing and speech recognition test389386$0
92567Test to assess middle ear function10098$0
View full utilization report →

Insurance plans in this area (ZIP 60132)

Loading plans...

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: 4486540275View full group profile
NameSpecialtyState
-MA
O P T O M E T R YMA
O P H T H A L M O L O G YMA
-OH
N E U R O L O G YMA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
N E U R O L O G YMA
-MA
Diagnostic RadiologyMA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for MISS CAILYN ELIZABETH KELLY (AUD, CCC-A)?
MISS CAILYN ELIZABETH KELLY (AUD, CCC-A) — NPI 1104005834 — is the standard way to identify this listing.
Does the file indicate MISS CAILYN ELIZABETH KELLY (AUD, CCC-A) is practicing under active NPI?
Directory data currently reports MISS CAILYN ELIZABETH KELLY (AUD, CCC-A) as active.
What is MISS CAILYN ELIZABETH KELLY (AUD, CCC-A)'s specialty?
The listing groups MISS CAILYN ELIZABETH KELLY (AUD, CCC-A) with Audiologist. Clinical services aligned with this taxonomy classification.
What area does MISS CAILYN ELIZABETH KELLY (AUD, CCC-A) serve?
MISS CAILYN ELIZABETH KELLY (AUD, CCC-A)'s listing highlights Carol Stream, Illinois; more addresses can appear in NPPES.
Why does MISS CAILYN ELIZABETH KELLY (AUD, CCC-A) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

2781, Maple Avenue, Lisle, DuPage County, Illinois, 60532, United States
NPI: 1669548749
487 Pennsylvania Ave
NPI: 1134383342
501, Thornhill Drive, Carol Stream, DuPage County, Illinois, 60188, United States
NPI: 1396996518
501 Thornhill Dr Ste 100
NPI: 1407095854
PO BOX 3298
NPI: 1184997918

COURTNEY L ABEL

Audiologist
3298 DEPT
NPI: 1346515236

SUSANNE SPARKMAN

Audiologist
3298 DEPARTMENT
NPI: 1679828412
487 PENNSYLVANIA AVE
NPI: 1538405964
DEPT 3298
NPI: 1932449188