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KELECHI CHIMA
NPI 1164955142
Nurse Practitioner - Primary Care in Shorewood, IL

Active since April 06, 2017PECOS Enrolled
75/100
CMS Quality Rating
509 NORTHGATE LN, SHOREWOOD, IL 60404(708) 698-3627 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelechi Chima NPPES

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

KELECHI CHIMA (NPI 1164955142) is an individual primary care provider in Shorewood, Illinois, licensed in Illinois (363L00000X) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164955142
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKELECHI CHIMA
Location Address509 NORTHGATE LNShorewood, IL 60404-6801
Mailing Address509 Northgate LnShorewood, IL 60404-6801
Phone(708) 698-3627
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 6, 2017
Last NPPES UpdateJanuary 2, 2020
✔ NPI 1164955142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IL · 363L00000X
509 NORTHGATE LN, Shorewood, IL 60404
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelechi Chima is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204106891
PECOS Enrollment IDI20170713002909
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 Kelechi Chima reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Association For Individual Development
18 mi
Mental Health (Including Community Mental Health Center)
309 W. NEW INDIAN TRAIL CT
Aurora, IL 60506
  • Reassigned Medicare billing, Illinois enrollment
  • 13 clinicians in this Medicare group
NPI 1821151119 (630) 966-4000
Applebaum Physiatry PLLC
25 mi
Physical Medicine & Rehabilitation
2013 MIDWEST RD
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • 67 clinicians in this Medicare group
NPI 1700598059 (630) 495-0220
The University Of Chicago Medical Center
36 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

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

Areas of Expertise CMS Part B claims 7

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,427 services159 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
919 services114 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
148 services123 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
88 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
82 services46 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60404 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Kelechi Chima's NPI number?

The NPI number for Kelechi Chima is 1164955142. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Kelechi Chima located?

Kelechi Chima practices at 509 Northgate Ln, Shorewood, IL 60404. The listed phone number is (708) 698-3627.

What is Kelechi Chima's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kelechi Chima enrolled in Medicare?

Yes. Kelechi Chima is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelechi Chima's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelechi Chima reassigns Medicare benefits to 3 organizations: Association For Individual Development (Aurora, IL), Applebaum Physiatry PLLC (Oak Brook, IL) and The University Of Chicago Medical Center (Chicago, 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 Kelechi Chima's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelechi Chima accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health and UnitedHealthcare list Kelechi Chima 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.

When was this NPI record last updated?

The NPPES record for Kelechi Chima was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.