KELLY CANERDAY (FNP-BC) – Family Nurse Practitioner, NPI 1952744963
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 CANERDAY (FNP-BC)
15300 West Ave
Suite 20 South
Orland Park, IL 604624600
Phone: (708) 460-5550
Fax: (708) 226-2595
Type: Location
12251 S 80TH AVE
SUITE 1630
PALOS HEIGHTS, IL 604631256
Phone: (708) 923-5173
Fax: (708) 923-5018
Type: Mailing
15300 WEST AVE
SUITE 20 SOUTH
ORLAND PARK, IL 604624600
Phone: (708) 460-5550
Fax: (708) 226-2595
Type: Location
40 75TH ST STE 1630
WILLOWBROOK, IL 605272325
Phone: (630) 581-5372
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 101 Open Payments records for all available years, with a total value of $1,886.
Total Amount is formed as General ($1,886) + Research ($0) + Ownership ($0) = $1,886.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($397).
Total Amount
$1,886
General + Research + Ownership
Payments
101
Total payment records
General Amount
$1,886
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $397 |
| Novo Nordisk Inc | $314 |
| ABBVIE INC. | $250 |
| Lilly USA, LLC | $215 |
| Merck Sharp & Dohme LLC | $120 |
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: 2013-06-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130628000527 | I | Nurse Practitioner | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Emergency Medicine, Internal Medicine | IN | |
| - | IL | |
| Emergency Medicine | WI | |
| Emergency Medicine | IL | |
| Emergency Medicine | PA | |
| Emergency Medicine | CA | |
| Emergency Medicine | IL | |
| Nurse Practitioner | IL |
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