ELIZABETH KELLY (NP) – Adult Health Nurse Practitioner, NPI 1306281167

ELIZABETH KELLY (NP) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209010346 (IL). The NPI Number for ELIZABETH KELLY (NP) is 1306281167

Main info

Female
14 Years Of Experience
Name
ELIZABETH KELLY (NP)
NPI
1306281167
Phone
(708) 786-2905
Address
1501 S CALIFORNIA AVE
Enumeration Date
7 May 2013
Last Update Date
7 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888701775
Graduation Year
2012 (14 years ago)
PAC ID
4486881638
Group Practice PAC ID
0749418630
Professional Enrollment ID
I20131213000099
Address ID
IL601692040HO2500XRDXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ELIZABETH KELLY (NP)

  • 1501 S CALIFORNIA AVE

    CHICAGO, IL 606081732

    Phone: (708) 786-2905

    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 3 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2024-06-10 • Largest payer in this snapshot: Neuronetics, Inc. ($32).

Total Amount

$75

General + Research + Ownership

Payments

3

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-10

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: 2013-12-13

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
I20131213000099INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes5937$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes3524$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60608)

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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: 0749418630View full group profile
NameSpecialtyState
-IL
Marriage And Family TherapistWI
Clinical Social WorkerIL
Nurse PractitionerWI
Mental Health CounselorIA
Mental Health CounselorIL
-FL
Nurse PractitionerIL
Mental Health CounselorIA
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Does ELIZABETH KELLY (NP) have a public NPI I can cite?
Public records show ELIZABETH KELLY (NP) under NPI 1306281167.
Is ELIZABETH KELLY (NP) currently accepting referrals based on NPI status?
Registry metadata lists ELIZABETH KELLY (NP) as active.
What does the directory say ELIZABETH KELLY (NP) does?
Insurance directories may phrase it differently, but here ELIZABETH KELLY (NP) maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to ELIZABETH KELLY (NP)?
ELIZABETH KELLY (NP) shows a connection to Chicago, Illinois in registry-derived data.
Can I export ELIZABETH KELLY (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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