KELLY A QUAINE – Gerontology Nurse Practitioner, NPI 1609499060
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for KELLY A QUAINE
2333 W CORTEZ ST APT 2
CHICAGO, IL 606223580
Phone: (517) 375-9062
Type: Mailing
1701 W SUPERIOR ST
CHICAGO, IL 606225646
Phone: (321) 432-4372
Type: Location
2217 ROCKINGHAM RD
DAVENPORT, IA 528022809
Phone: (563) 900-8465
Fax: (563) 519-6500
Type: Location
PO BOX 746721
ATLANTA, GA 303746721
Phone: (312) 733-9730
Type: Mailing
7000 CERMAK RD
BERWYN, IL 604022112
Phone: (630) 912-5224
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2025-06-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210729003584 | I | Nurse Practitioner | IL | TBD |
| I20250623001039 | I | Nurse Practitioner | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 95 | 61 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 22 | 22 | $0 |
Insurance plans in this area (ZIP 60622)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Internal Medicine, Hospitalist | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | MN | |
| Internal Medicine, Family Practice | AR | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Family Practice | IA |
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