KINSEY MELENDEZ – Nurse Practitioner, NPI 1174045462

KINSEY MELENDEZ is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 041400850 (IL). The NPI Number for KINSEY MELENDEZ is 1174045462

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KINSEY MELENDEZ
NPI
1174045462
Phone
(773) 445-3500
Address
9831 S. WESTERN AVE
Enumeration Date
9 July 2017
Last Update Date
12 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7734453500
Graduation Year
2017 (9 years ago)
PAC ID
1052670510
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20180109002268
Address ID
IL606431740CH9831XAVEX400

Contacts

Secure Messaging
knolan257979@direct.myadvocateaurora.or
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for KINSEY MELENDEZ

  • 9831, South Western Avenue, Beverly, Chicago, Lake Township, Cook County, Illinois, 60643, United States

    CHICAGO, IL 60643

    Phone: (773) 445-3500

    Type: Mailing

  • 17800 KEDZIE AVE

    HAZEL CREST, IL 604292029

    Phone: (708) 799-8000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $155.

Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: ABBVIE INC. ($60).

Total Amount

$155

General + Research + Ownership

Payments

7

Total payment records

General Amount

$155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

Latest reported date

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: 2018-01-09

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
I20180109002268INurse 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
99291Critical care, first 30-74 minutes8453$0
99292Critical care, each additional 30 minutes1613$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60643)

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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: 7810800935View full group profile

Reviews

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Frequently asked questions

How do I look up KINSEY MELENDEZ by NPI?
Use NPI 1174045462 when you need to reference KINSEY MELENDEZ in forms, claims, or directories.
Is KINSEY MELENDEZ's NPI currently valid?
The extract we use shows KINSEY MELENDEZ as active.
Can you summarize KINSEY MELENDEZ's specialty in plain language?
Clinically, the directory lists KINSEY MELENDEZ with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KINSEY MELENDEZ's primary listing?
We display Chicago, Illinois because that is what the record indicates for KINSEY MELENDEZ.
How can I contact KINSEY MELENDEZ?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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