LAUREN OLIVIA KELLY (AUD) – Audiologist, NPI 1104476506

LAUREN OLIVIA KELLY (AUD) is a healthcare provider. based in Niles, Illinois. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. The NPI Number for LAUREN OLIVIA KELLY (AUD) is 1104476506

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN OLIVIA KELLY (AUD)
NPI
1104476506
Phone
(847) 824-4390
Address
8780 W Golf Rd Ste 200
Enumeration Date
17 September 2019
Last Update Date
13 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3129426100
Graduation Year
2019 (7 years ago)
PAC ID
4587098041
Group Practice PAC ID
5496658874
Professional Enrollment ID
I20191217000853
Address ID
IL606124861CH1611XSTXX412
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

401 QUALIFIED AUDIOLOGIST in IL

Provider Addresses for LAUREN OLIVIA KELLY (AUD)

  • 8780 W Golf Rd Ste 200

    Niles, IL 607145611

    Phone: (847) 824-4390

    Type: Location

  • 2604 Dempster St Ste 501

    Park Ridge, IL 60068

    Phone: (847) 674-5585

    Type: Location

  • Golf Road, Skokie, Niles Township, Cook County, Illinois, 60025, United States

    NILES, IL 607145611

    Phone: (847) 824-4390

    Type: Mailing

  • 2604 DEMPSTER ST STE 501

    PARK RIDGE, IL 600688429

    Phone: (847) 674-5585

    Type: Mailing

  • 1611 W HARRISON ST STE 530

    CHICAGO, IL 606124861

    Phone: (312) 942-5332

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2019-12-17

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
I20191217000853IQualified AudiologistILTBD

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 test106105$0
92567Test to assess middle ear function7473$0
92552Test for hearing various pitches using earphone2524$0
92556Test for ability to detect and repeat spoken words with speech recognition2423$0
View full utilization report →

Insurance plans in this area (ZIP 60714)

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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: 5496658874View full group profile
NameSpecialtyState
General SurgeryIL
Internal MedicineIL
Diagnostic RadiologyWI
Internal MedicineMI
Hematology/Oncology, Hospice/Palliative CareIL
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerIL
Nurse PractitionerIL
O T O L A R Y N G O L O G YCT

Reviews

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Frequently asked questions

What NPI should I save for LAUREN OLIVIA KELLY (AUD)?
Save NPI 1104476506 if you need a stable reference for LAUREN OLIVIA KELLY (AUD).
Is LAUREN OLIVIA KELLY (AUD)'s NPI currently valid?
The extract we use shows LAUREN OLIVIA KELLY (AUD) as active.
What does LAUREN OLIVIA KELLY (AUD) treat or focus on?
Patients typically see LAUREN OLIVIA KELLY (AUD) under the specialty Audiologist. Clinical services aligned with this taxonomy classification.
Where does public data place LAUREN OLIVIA KELLY (AUD)?
The snapshot lists Niles, Illinois for LAUREN OLIVIA KELLY (AUD); download NPPES for the complete set.
Is LAUREN OLIVIA KELLY (AUD) a real provider?
This page reflects official NPPES data for NPI 1104476506. Always confirm identity and privileges with the practice and licensing boards.

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