KELECHI CHIMA – Primary Care Nurse Practitioner, NPI 1164955142

KELECHI CHIMA is a healthcare provider. based in Shorewood, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 363L00000X (IL). The NPI Number for KELECHI CHIMA is 1164955142

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KELECHI CHIMA
NPI
1164955142
Phone
Not provided
Address
509 NORTHGATE LN
Enumeration Date
6 April 2017
Last Update Date
2 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6304950220
Graduation Year
2016 (10 years ago)
PAC ID
6204106891
Group Practice PAC ID
8729453436
Professional Enrollment ID
I20170713002909
Address ID
IL605231312OA2013XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

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Provider Addresses for KELECHI CHIMA

  • Northgate Lane, Shorewood, Will County, Illinois, 60404, United States

    SHOREWOOD, IL 604046801

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-07-13

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
I20170713002909INurse PractitionerILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13084$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6057$0
View full utilization report →

Insurance plans in this area (ZIP 60404)

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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: 8729453436View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerTX
Nurse PractitionerIL
Nurse PractitionerMN
Nurse PractitionerTX
Nurse PractitionerGA
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerFL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What number should I use to identify KELECHI CHIMA for billing?
Administrative and clinical systems typically use NPI 1164955142 for KELECHI CHIMA.
Is KELECHI CHIMA currently accepting referrals based on NPI status?
Registry metadata lists KELECHI CHIMA as active.
What services align with KELECHI CHIMA's listing?
KELECHI CHIMA's public classification highlights Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KELECHI CHIMA?
KELECHI CHIMA is associated with Shorewood, Illinois in the same public data insurers reference.
Who maintains KELECHI CHIMA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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