CAITLIN MARIE KELLY PA-C
NPI 1114253309
Physician Assistant - Surgical in Skokie, IL

Q: What is Caitlin Kelly's NPI number?

The NPI number for Caitlin Kelly is 1114253309. It was assigned to this individual provider in the NPPES registry on October 23, 2009.

Q: What is Caitlin Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Caitlin Kelly was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 23, 2009PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

9600 GROSS POINT RD, SKOKIE, IL 60076(847) 933-6550(847) 933-6260 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Caitlin Marie Kelly Pa-c NPPES

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

CAITLIN MARIE KELLY PA-C (NPI 1114253309) is an individual surgical provider in Skokie, Illinois, licensed in Illinois (085003558) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1114253309

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameCAITLIN MARIE KELLYCredential: PA-C

Location Address9600 GROSS POINT RDSkokie, IL 60076-1214

Mailing Address2650 Ridge Ave # 1223Evanston, IL 60201-1700 · (847) 982-3175 · Fax (847) 982-3394

Phone(847) 933-6550

Fax(847) 933-6260

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateOctober 23, 2009

Last NPPES UpdateFebruary 26, 2026

NPPES CertifiedFebruary 26, 2026

✔ NPI 1114253309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 085003558

Also ListedPhysician AssistantTaxonomy 363A00000X · License 085003558 (IL)

9600 GROSS POINT RD, Skokie, IL 60076

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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 and accepts Medicare assignment

Caitlin Marie Kelly Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971646829

PECOS Enrollment IDI20100201000741

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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier16 claims16 services$14.77 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier16 claims16 services$63.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

KATIE KONSTANT PT

Physical Therapist