KELLIE MEYN
NPI 1104555184
Social Worker in Plainfield, IL
About Kellie Meyn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE MEYN (NPI 1104555184) is an individual social worker in Plainfield, Illinois, licensed in Illinois (150014780) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellie Meyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kellie Meyn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95119
- Reassigned Medicare billing, Illinois enrollment
- 106 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kellie Meyn's NPI number?
The NPI number for Kellie Meyn is 1104555184. It was assigned to this individual provider in the NPPES registry on June 6, 2022.
Where is Kellie Meyn located?
Kellie Meyn practices at 5700 Caton Farm Rd, Plainfield, IL 60586. The listed phone number is (630) 945-6724.
What is Kellie Meyn's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Kellie Meyn enrolled in Medicare?
Yes. Kellie Meyn is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kellie Meyn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Meyn reassigns Medicare benefits to Sondermind PC (San Jose, CA). The 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 Kellie Meyn'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 Kellie Meyn was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kellie Meyn · NPI 1104555184
Social Worker provider in Plainfield, Illinois. Individual provider, active in the CMS NPPES registry since June 6, 2022.
## Identity
- **NPI:** 1104555184 (Entity type: Individual)
- **Enumerated:** June 6, 2022
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 150014780 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5700 CATON FARM RD, Plainfield, IL 60586-9905
- **Phone:** (630) 945-6724
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sondermind PC (NPI 1003646977, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104555184) · Data from the CMS NPPES public registry.