KELLY RENEE VAN ASSCHE (A.R.N.P.) – Family Nurse Practitioner, NPI 1912249921
Family 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 RENEE VAN ASSCHE (A.R.N.P.)
2875 W 19TH ST
CHICAGO, IL 606233501
Phone: (773) 484-1000
Fax: (773) 521-0223
Type: Location
555 W KINZIE ST
APT 2311
CHICAGO, IL 606545727
Phone: (540) 435-6224
Type: Mailing
5825 PLANK RD STE 105
FREDERICKSBURG, VA 224075207
Phone: (540) 785-3448
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: 2025-10-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20131122000979 | I | Nurse Practitioner | FL | TBD |
| I20160810000907 | I | Nurse Practitioner | IL | TBD |
| I20191029001574 | I | Nurse Practitioner | MI | TBD |
| I20221121002465 | I | Nurse Practitioner | VA | TBD |
| I20251013002980 | I | Nurse Practitioner | DC | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 65 | 65 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 54 | 54 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 36 | 18 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 25 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 23 | $0 |
Insurance plans in this area (ZIP 60623)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | VA | |
| - | MD | |
| - | VA | |
| Nurse Practitioner | VA | |
| Pain Management, Anesthesiology, Pain Management | MD | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | VA | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | VA | |
| Physician Assistant | MD | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | MD | |
| Nurse Practitioner | VA |
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