KELLIE DENNISTON FRISSORA APRN, NP-C
NPI 1245857762
Nurse Practitioner - Family in Chicago, IL

Q: What is Kellie Frissora's NPI number?

The NPI number for Kellie Frissora is 1245857762. It was assigned to this individual provider in the NPPES registry on June 30, 2020.

Q: What is Kellie Frissora's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Frissora was last updated on November 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2020PECOS Enrolled

200 S WACKER DR FL 31, CHICAGO, IL 60606(866) 849-0692(888) 973-8821 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2025, May 13, 2025, Apr 4, 2025 and 2 more (5 updates tracked since 2020).

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About Kellie Denniston Frissora Aprn, Np-c NPPES

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

KELLIE DENNISTON FRISSORA APRN, NP-C (NPI 1245857762) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.021129) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1245857762

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLIE DENNISTON FRISSORACredential: APRN, NP-C

Location Address200 S WACKER DR FL 31Chicago, IL 60606-5877

Mailing AddressPo Box 211699Eagan, MN 55121-3699 · (866) 849-0692 · Fax (888) 973-8821

Phone(866) 849-0692

Fax(888) 973-8821

Sole ProprietorYes

Enumeration DateJune 30, 2020

Last NPPES UpdateNovember 13, 20255 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1245857762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in IL · 209.021129✔ Licensed in TX · 1178923✔ Licensed in CO · APN.0996971-NP✔ Licensed in VA · 0024195284✔ Licensed in OR · 10023562✔ Licensed in AZ · 278421✔ Licensed in HI · APRN-5499

200 S WACKER DR FL 31, Chicago, IL 60606

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Secondary Practice Location 1

Location 12003 W Fulton St Ste 303Chicago, IL 60612-2345 · Phone (312) 243-2223

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Denniston Frissora Aprn, Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60606 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

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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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.

MRS. ASHLEY DAWN GRAY RN

Registered Nurse