Kelli Nickols, APN - Medicare Nurse Practitioner in Harvey, IL

  1. Home
  2. Nurse Practitioner
  3. IL
  4. Harvey
Kelli Nickols, APN is a medicare enrolled "Nurse Practitioner - Family" in Harvey, Illinois. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The University Of Chicago Medical Center and her current practice location is 1 Ingalls Dr, Wyman Gordon Pavilion- Home Care Division, Harvey, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 915-4649.

Kelli Nickols is licensed to practice in Illinois (license number 209008896) 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 1578847489.

Contact Information

Kelli Nickols, APN
1 Ingalls Dr, Wyman Gordon Pavilion- Home Care Division,
Harvey, IL 60426-3558
(708) 915-4649
(708) 915-6357

Map and Direction




Provider's Profile

Full NameKelli Nickols
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location1 Ingalls Dr, Harvey, 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:
  • Kelli Nickols graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1578847489
  • Provider Enumeration Date: 10/11/2011
  • Last Update Date: 11/05/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2860666070
  • Enrollment ID: I20111129000048

Medical Identifiers

Medical identifiers for Kelli Nickols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578847489NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209008896 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The University Of Chicago Medical CenterChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The University Of Chicago Medical Center7618880766779

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. Kelli Nickols allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Chicago
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821048786
PECOS PAC ID: 7719899426
Enrollment ID: O20031103000094
Entity NameThe University Of Chicago Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033218128
PECOS PAC ID: 7618880766
Enrollment ID: O20031113000198
Entity NameLoyola University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336159961
PECOS PAC ID: 3779488903
Enrollment ID: O20031202000027
Entity NameAdvanced Metrorehab Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376676817
PECOS PAC ID: 6800988221
Enrollment ID: O20070815000314

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. Kelli Nickols 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
Kelli Nickols, APN
1 Ingalls Dr, Wyman Gordon Pavilion- Home Care Division,
Harvey, IL 60426-3558

Ph: (708) 915-4649		Kelli Nickols, APN
1 Ingalls Dr, Wyman Gordon Pavilion- Home Care Division,
Harvey, IL 60426-3558

Ph: (708) 915-4649

Reviews and Comments


Nurse Practitioner Nurses in Harvey, IL

Miss Maira Ochoa, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 31 W 155th St, Harvey, IL 60426
Phone: 708-596-5177    Fax: 708-596-5518
Yvette M. Johnson, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 31 W. 155th Street, Harvey, IL 60426
Phone: 708-596-5177    Fax: 708-339-3583
Dr. Stephanie Liggons, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 31 W 155th St, Harvey, IL 60426
Phone: 708-596-5177    Fax: 708-596-5518
Dominique K Craver, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Ingalls Dr, Harvey, IL 60426
Phone: 708-332-2300    
Reda Kubilius, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Ingalls Dr, Harvey, IL 60426
Phone: 708-915-9250    
Emily Tyl,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Ingalls Dr, Harvey, IL 60426
Phone: 855-826-3878    
Donna J. Calvin, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 31 W 155th St, Harvey, IL 60426
Phone: 708-596-5177    Fax: 708-596-5518

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.