KELLY RANAE DAVIS APN
NPI 1265109409
Nurse Practitioner - Family in Hoffman Estates, IL

Q: What is Kelly Davis's NPI number?

The NPI number for Kelly Davis is 1265109409. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Q: What is Kelly Davis'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 Kelly Davis was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 25, 2021PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

2500 W HIGGINS RD STE 1040, HOFFMAN ESTATES, IL 60169(847) 884-8096(847) 884-8125 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2023, Jul 27, 2023, Aug 25, 2021 (3 updates tracked since 2021).

On this page

About Kelly Ranae Davis Apn NPPES

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

KELLY RANAE DAVIS APN (NPI 1265109409) is an individual family provider in Hoffman Estates, Illinois, licensed in Illinois (209023957) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265109409

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY RANAE DAVISCredential: APN

Location Address2500 W HIGGINS RD STE 1040Hoffman Estates, IL 60169-2049

Mailing Address2500 W Higgins Rd Ste 1040Hoffman Estates, IL 60169-2049 · (847) 884-8096 · Fax (847) 884-8125

Phone(847) 884-8096

Fax(847) 884-8125

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 25, 2021

Last NPPES UpdateAugust 18, 20233 updates tracked since enumeration

NPPES CertifiedAugust 18, 2023

✔ NPI 1265109409 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 · 209023957✔ Licensed in IA · A165295

2500 W HIGGINS RD STE 1040, Hoffman Estates, IL 60169

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Secondary Practice Locations 3

Location 12500 S Highland Ave Ste 320Lombard, IL 60148-5390 · Phone (331) 946-7572 · Fax (630) 480-4507

Location 2738 W Northwest HwyBarrington, IL 60010-2640 · Phone (224) 427-6789 · Fax (847) 382-8993

Location 32323 Naper Vl Rd Ste 120Naperville, IL 60563-5606 · Phone (630) 462-8680 · Fax (630) 462-8685

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Ranae Davis Apn 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 ID9234536202

PECOS Enrollment IDI20210929002847

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

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

Dermatology Specialists Of Illinois, Ltd

12 mi

Dermatology

2430 ESPLANADE DRIVE, SUITE B
Algonquin, IL 60102

Reassigned Medicare billing, Illinois enrollment
11 clinicians in this Medicare group

NPI 1144610080 (212) 627-6515

Soderstrom Dermatology Center S C

119 mi

Dermatology

4909 N GLEN PARK PLACE RD
Peoria, IL 61614

Reassigned Medicare billing, Iowa enrollment
15 clinicians in this Medicare group

NPI 1710931670 (309) 674-7546

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 10

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.

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.

420 services336 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

324 services81 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

169 services148 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

131 services110 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

126 services117 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

70 services66 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60169 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.

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

Other Providers at the Same Location NPPES 6

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

TALIA SIVAN GORDON

Physician Assistant