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MRS. KELLY ANN DEWOLFE APN
NPI 1265525760
Nurse Practitioner in La Grange, IL

Active since October 02, 2006PECOS Enrolled
47 6TH AVE, LA GRANGE, IL 60525(708) 783-6900 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Ann Dewolfe Apn NPPES

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

MRS. KELLY ANN DEWOLFE APN (NPI 1265525760) is an individual nurse practitioner in La Grange, Illinois, licensed in Illinois (209006192) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265525760
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KELLY ANN DEWOLFECredential: APN
Location Address47 6TH AVELa Grange, IL 60525-2499
Mailing Address1243 W Melrose StChicago, IL 60657-3217 · (414) 467-2056
Phone(708) 783-6900
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 4, 2015
✔ NPI 1265525760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209006192
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
47 6TH AVE, La Grange, IL 60525
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Other Names 1

Former Name (1)Ms. Kelly Ann Retzlaff Apn, Cnp, Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Ann Dewolfe Apn 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 60525 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier31 claims31 services$18.38 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier38 claims247 services$35.43 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
1 supplier13 claims13 services$168.25 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier37 claims3,233 services$1.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

ROSECRANCE INC
Substance Abuse Rehabilitation Facility
47 6TH AVE, SUITE L
LA GRANGE, IL 60525
Cook County (815) 391-1000
ENLIGHTENED PATH COUNSELING, LLC
Community/Behavioral Health
47 6TH AVE, SUITE H-6
LA GRANGE, IL 60525
Cook County (708) 323-6040
CASEY JADE MILLER D.C.
Chiropractor (Rehabilitation)
47 6TH AVE
LA GRANGE, IL 60525
Cook County (708) 469-9988
DR. ALEXANDER PETER SONERU MD
Orthopaedic Surgery (Hand Surgery)
47 6TH AVE, STE M
LA GRANGE, IL 60525
Cook County (708) 354-4900
LIVE WELL COUNSELING
Social Worker (Clinical)
47 6TH AVE, SUITE: H2
LA GRANGE, IL 60525
Cook County (708) 639-4030
MRS. ALEFIYAH ABID LINDO LCSW
Social Worker (Clinical)
47 6TH AVE, SUITE H-6
LA GRANGE, IL 60525
Cook County (630) 479-3002
ROBERT PASSOVOY MD
Internal Medicine
47 6TH AVE
LA GRANGE, IL 60525
Cook County (708) 354-4900

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 Kelly Dewolfe's NPI number?

The NPI number for Kelly Dewolfe is 1265525760. It was assigned to this individual provider in the NPPES registry on October 2, 2006. The provider is also known as Ms. Kelly Ann Retzlaff Apn, Cnp, Rn.

Where is Kelly Dewolfe located?

Kelly Dewolfe practices at 47 6th Ave, La Grange, IL 60525. The listed phone number is (708) 783-6900.

What is Kelly Dewolfe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Dewolfe enrolled in Medicare?

Yes. Kelly Dewolfe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Dewolfe was last updated on June 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.