KELLIE VAIDYA (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1346781879

KELLIE VAIDYA (APN) is a healthcare provider. based in Oak park, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 041325823 (IL). The NPI Number for KELLIE VAIDYA (APN) is 1346781879

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KELLIE VAIDYA (APN)
NPI
1346781879
Phone
(708) 207-2300
Address
215 HARRISON ST
Enumeration Date
16 March 2017
Last Update Date
24 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3122137862
Graduation Year
2012 (14 years ago)
PAC ID
5597042754
Group Practice PAC ID
1355728353
Professional Enrollment ID
I20170426001273
Address ID
IL603041533OA215XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for KELLIE VAIDYA (APN)

  • 215 HARRISON ST

    OAK PARK, IL 603041533

    Phone: (708) 207-2300

    Type: Mailing

  • Oakmont Plaza Drive, Westmont, DuPage County, Illinois, 60559, United States

    WESTMONT, IL 605591381

    Phone: (630) 850-2120

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $222.

Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.

Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($69).

Total Amount

$222

General + Research + Ownership

Payments

8

Total payment records

General Amount

$222

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-29

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: 2017-04-26

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
I20170426001273INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes2012$0
View full utilization report →

Insurance plans in this area (ZIP 60304)

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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: 1355728353View full group profile
NameSpecialtyState
Clinical Social WorkerNC
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Marriage And Family TherapistIL
Nurse PractitionerIN

Reviews

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Frequently asked questions

Does KELLIE VAIDYA (APN) have a public NPI I can cite?
Public records show KELLIE VAIDYA (APN) under NPI 1346781879.
Does the public listing show KELLIE VAIDYA (APN) as active?
KELLIE VAIDYA (APN)'s NPI record reflects an active status in NPPES.
What type of care does KELLIE VAIDYA (APN) provide?
KELLIE VAIDYA (APN)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KELLIE VAIDYA (APN) tied to Oak Park, Illinois?
If you are local to Oak Park, Illinois, KELLIE VAIDYA (APN) may be relevant to your search.
Who maintains KELLIE VAIDYA (APN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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