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DEANNE C FORNELLI PA-C
NPI 1245532928
Physician Assistant - Surgical in Chicago, IL

Active since December 01, 2010PECOS EnrolledAccepts Medicare Assignment
1653 W. CONGRESS PARKWAY, JELKE 7TH FLOOR - GENERAL SURGERY, CHICAGO, IL 60612(312) 942-6379 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Deanne C Fornelli Pa-c NPPES

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

DEANNE C FORNELLI PA-C (NPI 1245532928) is an individual surgical provider in Chicago, Illinois, licensed in Illinois (085.003925) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1245532928
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDEANNE C FORNELLICredential: PA-C
Location Address1653 W. CONGRESS PARKWAY, JELKE 7TH FLOOR - GENERAL SURGERYChicago, IL 60612
Mailing Address1653 W. Congress Parkway, Jelke 7th Floor - General SurgeryChicago, IL 60612 · (312) 942-6379
Phone(312) 942-6379
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 1, 2010
Last NPPES UpdateSeptember 11, 2012
✔ NPI 1245532928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085.003925
1653 W. CONGRESS PARKWAY, Chicago, IL 60612
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Deanne C Fornelli 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 ID5496932238
PECOS Enrollment IDI20110606000041
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 3

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.

Fusion of lower spine bone through abdomen with partial removal of disc 22558
This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.
28 services28 patients
Release of scar tissue at ureter 50715
This procedure involves removing scar tissue from a tube in your body that carries liquid waste from your kidneys to your bladder. Scar tissue can block this tube, causing discomfort and health issues. The goal is to restore normal function and alleviate any symptoms.
28 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services16 patients

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

DR. JENNIFER MARIE JOLLEY M.D.
Surgery
1653 W. CONGRESS PARKWAY, RUSH UNIVERSITY MEDICAL CENTER
CHICAGO, IL 60612
Cook County (312) 942-6000
DR. RACHEL CATHERINE TERCEK PH.D.
Psychologist (Clinical)
1653 W. CONGRESS PARKWAY
CHICAGO, IL 60612
Cook County (847) 933-9339
DR. MATTHEW STEMM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1653 W. CONGRESS PARKWAY
CHICAGO, IL 60612
Cook County (262) 347-8623
BARBARA VIVANCO LAHUE RN
Registered Nurse (Emergency)
1653 W. CONGRESS PARKWAY, EMERGENCY DEPARTMENT
CHICAGO, IL 60612
Cook County (312) 947-4287

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 Deanne Fornelli's NPI number?

The NPI number for Deanne Fornelli is 1245532928. It was assigned to this individual provider in the NPPES registry on December 1, 2010.

Where is Deanne Fornelli located?

Deanne Fornelli practices at 1653 W. Congress Parkway Jelke 7th Floor - General Surgery, Chicago, IL 60612. The listed phone number is (312) 942-6379.

What is Deanne Fornelli's specialty?

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

Is Deanne Fornelli enrolled in Medicare?

Yes. Deanne Fornelli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Deanne Fornelli accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Deanne Fornelli 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 Deanne Fornelli affiliated with any hospitals?

According to CMS data, Deanne Fornelli is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Deanne Fornelli was last updated on September 11, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.