KELLEY MARIE ANDERSON APN
NPI 1013674993
Nurse Practitioner - Neonatal in Chicago, IL

Q: What is Kelley Anderson's NPI number?

The NPI number for Kelley Anderson is 1013674993. It was assigned to this individual provider in the NPPES registry on November 26, 2021.

Q: What is Kelley Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Anderson was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 26, 2021PECOS Enrolled

5721 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-6565 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2024, Nov 26, 2021 (2 updates tracked since 2021).

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About Kelley Marie Anderson Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY MARIE ANDERSON APN (NPI 1013674993) is an individual neonatal provider in Chicago, Illinois, licensed in Illinois (041424656) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013674993

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameKELLEY MARIE ANDERSONCredential: APN

Location Address5721 S MARYLAND AVEChicago, IL 60637-1425

Mailing Address1524 Lawrence AveLockport, IL 60441-4203 · (815) 735-7137

Phone(773) 702-6565

Sole ProprietorNo

Enumeration DateNovember 26, 2021

Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2024

✔ NPI 1013674993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in IL · 041424656

Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License 209.024433 (IL)

5721 S MARYLAND AVE, Chicago, IL 60637

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Marie Anderson Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIDGET AMOAH

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