Elizabeth Kelly, NP - Medicare Nurse Practitioner in Chicago, IL

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Elizabeth Kelly, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Chicago, Illinois. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mount Sinai Community Foundation and her current practice location is 1501 S California Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 786-2905.

Elizabeth Kelly is licensed to practice in Illinois (license number 209010346) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306281167.

Contact Information

Elizabeth Kelly, NP
1501 S California Ave,
Chicago, IL 60608-1732
(708) 786-2905
Not Available

Map and Direction




Provider's Profile

Full NameElizabeth Kelly
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location1501 S California Ave, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elizabeth Kelly graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1306281167
  • Provider Enumeration Date: 05/07/2013
  • Last Update Date: 05/07/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4486881638
  • Enrollment ID: I20131213000099

Medical Identifiers

Medical identifiers for Elizabeth Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306281167NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 209010346 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mount Sinai Community Foundation5991600405207

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elizabeth Kelly allows following entities to bill medicare on her behalf.
Entity NameMount Sinai Community Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376715896
PECOS PAC ID: 5991600405
Enrollment ID: O20040202001032
Entity NameMd @ Home Illinois, Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568758415
PECOS PAC ID: 7810167830
Enrollment ID: O20110831000340
Entity NameRodasi Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467691790
PECOS PAC ID: 0749418630
Enrollment ID: O20140123000856

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elizabeth Kelly, NP
1501 S California Ave,
Chicago, IL 60608-1732

Ph: (708) 786-2905		Elizabeth Kelly, NP
1501 S California Ave,
Chicago, IL 60608-1732

Ph: (708) 786-2905

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.