KELLY HUNDMAN – Family Nurse Practitioner, NPI 1366071797

KELLY HUNDMAN is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 041430008 (IL). The NPI Number for KELLY HUNDMAN is 1366071797

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KELLY HUNDMAN
NPI
1366071797
Phone
(708) 601-4007
Address
3326 N Whipple St
Enumeration Date
7 April 2020
Last Update Date
23 November 2021

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
7086606665
Graduation Year
2020 (6 years ago)
PAC ID
5597175794
Group Practice PAC ID
8820190606
Professional Enrollment ID
I20201029000083
Address ID
IL603041022OA520XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:6State licenses:3Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KELLY HUNDMAN

  • 3326 N Whipple St

    Chicago, IL 606185718

    Phone: (708) 601-4007

    Type: Location

  • 9977 WOODS DR

    SKOKIE, IL 600771057

    Phone: (224) 364-2273

    Fax: (847) 663-8290

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2020-10-29

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
I20201029000083INurse 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
99284Emergency department visit with moderate level of medical decision making2626$0
99285Emergency department visit with high level of medical decision making2121$0
View full utilization report →

Insurance plans in this area (ZIP 60618)

Loading plans...

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: 8820190606View full group profile
NameSpecialtyState
-IL
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicineIL
Emergency Medicine, Medical ToxicologyGA
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicineIL
-IL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify KELLY HUNDMAN with an NPI only?
You can start verification with NPI 1366071797 for KELLY HUNDMAN, then check state licensing separately.
Is KELLY HUNDMAN listed as active for patients and plans?
The listing shows KELLY HUNDMAN as active in the NPI system.
What is KELLY HUNDMAN's primary classification?
Family Nurse Practitioner is the headline specialty for KELLY HUNDMAN here. Clinical services aligned with this taxonomy classification.
What address line appears for KELLY HUNDMAN?
KELLY HUNDMAN's geographic hint is Chicago, Illinois in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

Similar Providers

DONNA J. EVE (APRN)

Family Nurse Practitioner
PO BOX 776351
NPI: 1891799730

ANNE E TURNER (ANP-C)

Family Nurse Practitioner
1460N HALSTED ST 202
NPI: 1487658084

MRS. EMILY ANNE MOORE (APRN, FNP-C)

Family Nurse Practitioner
340 CHAPEZE LN
NPI: 1609872449

MRS. RICKI LOAR (APN)

Family Nurse Practitioner
Congregation Bais Tefila, 3553-3601, West Peterson Avenue, North Park, Chicago, Jefferson Township, Cook County, Illinois, 60659, United States
NPI: 1194723312

MRS. MARGARET-ELIZABETH R WOLTER (NP)

Family Nurse Practitioner
Baker Street, Muskegon Heights, Muskegon County, Michigan, 49444, United States
NPI: 1447251442

YANA DYMARSKIY (APRN, FNP)

Family Nurse Practitioner
6827-6829, North Lakewood Avenue, Rogers Park, Chicago, Rogers Park Township, Cook County, Illinois, 60626, United States
NPI: 1154322097

MARY L TORNABENE (APN)

Nurse Practitioner
4009 N BROADWAY ST
NPI: 1730180621

PATRICK ANDREW PENNINGTON (NP)

Family Nurse Practitioner
2502, 25th Street, Everroad Park, Columbus, Bartholomew County, Indiana, 47201, United States
NPI: 1730173626