Kelly Ortega, APN-PHMNP-BC - Medicare Nurse Practitioner in Evanston, IL

Kelly Ortega, APN-PHMNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Evanston, Illinois. She graduated from nursing school in 2016 and has 8 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 2650 Ridge Ave, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 570-2540.

Kelly Ortega is licensed to practice in Illinois (license number 209016279) 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 1306220793.

Contact Information

Kelly Ortega, APN-PHMNP-BC
2650 Ridge Ave,
Evanston, IL 60201-1700
(847) 570-2540
Not Available

Map and Direction




Provider's Profile

Full NameKelly Ortega
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location2650 Ridge Ave, Evanston, 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 Ortega graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1306220793
  • Provider Enumeration Date: 07/15/2015
  • Last Update Date: 06/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2961775473
  • Enrollment ID: I20170906000005

Medical Identifiers

Medical identifiers for Kelly Ortega such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306220793NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 692485 (New York)Secondary
163W00000XRegistered Nurse 95104478 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 209016279 (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. Kelly Ortega 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 NameNorthshore University Healthsystem Faculty Practice Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118

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 Ortega 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 Ortega, APN-PHMNP-BC
2650 Ridge Ave,
Evanston, IL 60201-1700

Ph: () -
Kelly Ortega, APN-PHMNP-BC
2650 Ridge Ave,
Evanston, IL 60201-1700

Ph: (847) 570-2540

Reviews and Comments


Nurse Practitioner Nurses in Evanston, IL

Marlene Angelico, CNP
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Medicare: Not Enrolled in Medicare
Practice Location: 2650 Ridge Ave, Emergency Medicine, Rm G903c, Evanston, IL 60201
Phone: 847-570-1355    Fax: 847-570-1223
Emily Pableo Pinol, MSN, APRN, FNP-C
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Phone: 847-982-3811    
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Mrs. Monika Marrero, APRN
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Medicare: Medicare Enrolled
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-425-6400    
Holly Rene, N.P.
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Medicare: Medicare Enrolled
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-570-1027    
Manijeh Ghafouri,
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Practice Location: 3333 Central St, Evanston, IL 60201
Phone: 847-869-3800    
Regina Munoz, APN-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 Central St Ste 610, Evanston, IL 60201
Phone: 847-570-1029    Fax: 847-733-5318

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.