KELLY LYNN CONNOLLY PA-C
NPI 1023718822
Physician Assistant in Chicago, IL

Active since March 09, 2023PECOS Enrolled
2400 N ASHLAND AVE, CHICAGO, IL 60614(773) 270-5600 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2023, Mar 9, 2023 (2 updates tracked since 2023).

About Kelly Lynn Connolly Pa-c NPPES

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

KELLY LYNN CONNOLLY PA-C (NPI 1023718822) is an individual physician assistant in Chicago, Illinois, licensed in Wisconsin (7476-23) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1023718822
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY LYNN CONNOLLYCredential: PA-C
Location Address2400 N ASHLAND AVEChicago, IL 60614-0851
Mailing Address369 W Grand Ave Apt 2604Chicago, IL 60654-4547
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 9, 2023
Last NPPES UpdateAugust 29, 20252 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
NPI 1023718822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 7476-23
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2400 N ASHLAND AVE, Chicago, IL 60614

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Lynn Connolly Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961865837
PECOS Enrollment IDI20251015003290
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
52 services52 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 13

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

Clinic/Center
2400 N ASHLAND AVE, SUITE 100
CHICAGO, IL 60614
Clinic/Center (Urgent Care)
2400 N ASHLAND AVE
CHICAGO, IL 60614
Family Medicine
2400 N ASHLAND AVE, SUITE 150
CHICAGO, IL 60614
Counselor
2400 N ASHLAND AVE
CHICAGO, IL 60614
Physician Assistant (Medical)
2400 N ASHLAND AVE
CHICAGO, IL 60614
Social Worker (Clinical)
2400 N ASHLAND AVE
CHICAGO, IL 60614
Urology (Pediatric Urology)
2400 N ASHLAND AVE, SUITE 200
CHICAGO, IL 60614
Physician Assistant
2400 N ASHLAND AVE
CHICAGO, IL 60614

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 Kelly Connolly's NPI number?

The NPI number for Kelly Connolly is 1023718822. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Where is Kelly Connolly located?

Kelly Connolly practices at 2400 N Ashland Ave, Chicago, IL 60614. The listed phone number is (773) 270-5600.

What is Kelly Connolly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Connolly enrolled in Medicare?

Yes. Kelly Connolly is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Connolly accept?

Health plans from CareSource (Common Ground Healthcare) list Kelly Connolly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Connolly affiliated with any hospitals?

According to CMS data, Kelly Connolly is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Connolly was last updated on August 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.