Kelly Kathleen Forster Ivy, CNM, WHNP-BC - Medicare Certified Nurse Midwife (cnm) in Lake Forest, IL

Kelly Kathleen Forster Ivy, CNM, WHNP-BC is a medicare enrolled "Nurse Practitioner" in Lake Forest, Illinois. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 900 N Westmoreland Rd Ste 112, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 535-7057.

Kelly Kathleen Forster Ivy is licensed to practice in Illinois (license number 277001068) 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 1649514316.

Contact Information

Kelly Kathleen Forster Ivy, CNM, WHNP-BC
900 N Westmoreland Rd Ste 112,
Lake Forest, IL 60045
(847) 535-7057
(847) 615-2260

Map and Direction




Provider's Profile

Full NameKelly Kathleen Forster Ivy
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience6 Years
Location900 N Westmoreland Rd Ste 112, Lake Forest, 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:
  • Kelly Kathleen Forster Ivy graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1649514316
  • Provider Enumeration Date: 11/19/2012
  • Last Update Date: 08/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4284873563
  • Enrollment ID: I20230518001978

Medical Identifiers

Medical identifiers for Kelly Kathleen Forster Ivy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649514316NPI-NPPES
209010141OtherILSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 209009824 (Illinois)Secondary
363L00000XNurse Practitioner 277001068 (Illinois)Primary
163WX0003XRegistered Nurse - Obstetric, Inpatient 041369474 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwestern Memorial HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143352

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. Kelly Kathleen Forster Ivy allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541

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. Kelly Kathleen Forster Ivy 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
Kelly Kathleen Forster Ivy, CNM, WHNP-BC
900 N Westmoreland Rd Ste 112,
Lake Forest, IL 60045

Ph: (847) 535-7057
Kelly Kathleen Forster Ivy, CNM, WHNP-BC
900 N Westmoreland Rd Ste 112,
Lake Forest, IL 60045

Ph: (847) 535-7057

Reviews and Comments


Nurse Practitioner Nurses in Lake Forest, IL

Katie L Konopacz, CNP
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Practice Location: 1000 N Westmoreland Rd # B, Lake Forest, IL 60045
Phone: 847-535-3278    
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Phone: 847-295-1220    Fax: 847-295-1255
Melissa Katelyn Battista, APN
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Armando Comas, APRN, CNP
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Phone: 847-535-6150    Fax: 847-535-7801
Mrs. Cynthia H. Leaker, MSN
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Andrea C Komsri, APRN, FNP-BC
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Practice Location: 1000 N Westmoreland Rd, Pavilion B, Level 1, Lake Forest, IL 60045
Phone: 847-534-3278    
Carly Cooper, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-5600    

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).

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