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

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: October 18, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kellie Frissora reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Devoted Medical PC
Same address
Primary Care
200 S WACKER DR FL 31
Chicago, IL 60606
  • Reassigned Medicare billing, Illinois enrollment
  • 40 clinicians in this Medicare group
NPI 1467125203 (866) 849-0692
Devoted Medical Group Professional Corporation
1,171 mi
Primary Care
880 SW 145TH AVE STE 202
Pembroke Pines, FL 33027
  • Reassigned Medicare billing, Arizona, Colorado and Oregon enrollments
  • 68 clinicians in this Medicare group
NPI 1245838168 (866) 849-0692

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

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.

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
200 S WACKER DR FL 31
CHICAGO, IL 60606
Cook County (866) 849-0692
PALKA PATEL APRN,FNP-C
Nurse Practitioner (Family)
200 S WACKER DR FL 31
CHICAGO, IL 60606
Cook County (866) 849-0692
DR. ABRAR ALI HUSAIN M.D.
Family Medicine
200 S WACKER DR FL 31
CHICAGO, IL 60606
Cook County (866) 849-0692
DANIELLE RENAE BLAKE
Nurse Practitioner (Family)
200 S WACKER DR FL 31
CHICAGO, IL 60606
Cook County (866) 849-0692
CERVIN JEN M ALVAREZ RN, CDCES
Registered Nurse (Diabetes Educator)
200 S WACKER DR FL 31
CHICAGO, IL 60606
Cook County (866) 849-0692
STEPHANIE RENE GERBERDING LCSW
Social Worker (Clinical)
200 S WACKER DR FL 31
CHICAGO, IL 60606
Cook County (866) 849-0692
DEVOTED MEDICAL PC
Clinic/Center (Primary Care)
200 S WACKER DR FL 31
CHICAGO, IL 60606
Cook County (866) 849-0692
MRS. JESSICA M MENDEZ APRN,FNP-C
Nurse Practitioner (Family)
200 S WACKER DR FL 31
CHICAGO, IL 60606
Cook County (866) 849-0692

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 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.

Where is Kellie Frissora located?

Kellie Frissora practices at 200 S Wacker Dr Fl 31, Chicago, IL 60606. The listed phone number is (866) 849-0692.

What is Kellie Frissora's specialty?

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

Is Kellie Frissora enrolled in Medicare?

Yes. Kellie Frissora is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kellie Frissora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Frissora reassigns Medicare benefits to 2 organizations: Devoted Medical PC (Chicago, IL) and Devoted Medical Group Professional Corporation (Pembroke Pines, FL). 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 Kellie Frissora'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 Frissora was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.