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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelley Anderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
0.1 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 635 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
0.1 mi
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200
Osf Multi-Specialty Group
128 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Nurse Practitioner (Psychiatric/Mental Health)
5721 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 834-6200
CHANTEL HOSKIN-SNELLING RN
Registered Nurse
5721 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-6249
BIANCA MILBURN FNP-BC
Nurse Practitioner (Family)
5721 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
DR. VICTORIA NATALIE HARO M.D
Student in an Organized Health Care Education/Training Program
5721 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-6760
ASHLEY ELIZABETH NEUMANN MSN
Pediatrics (Pediatric Hematology-Oncology)
5721 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
MARGARET ELIZABETH MCGUIRE DNP
Nurse Practitioner (Pediatrics)
5721 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
DR. KATHERINE MARIA SICILIANO MESSING M.D.
Pediatrics
5721 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
NICOLE RUSSELL
Student in an Organized Health Care Education/Training Program
5721 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (303) 919-6612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Kelley Anderson located?

Kelley Anderson practices at 5721 S Maryland Ave, Chicago, IL 60637. The listed phone number is (773) 702-6565.

What is Kelley Anderson's specialty?

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

Is Kelley Anderson enrolled in Medicare?

Yes. Kelley Anderson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelley Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Anderson reassigns Medicare benefits to 3 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL) and Osf Multi-Specialty Group (Peoria, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelley Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 years 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.