DR. KELLY NICOLE MICHELSON MD MPH
NPI 1306806278
Pediatrics - Pediatric Critical Care Medicine in Chicago, IL

Q: What is Kelly Michelson's NPI number?

The NPI number for Kelly Michelson is 1306806278. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Kelly Michelson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Michelson was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 March 24, 2006PECOS EnrolledAccepts Medicare Assignment

225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-6000 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kelly Nicole Michelson Md Mph NPPES

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

DR. KELLY NICOLE MICHELSON MD MPH (NPI 1306806278) is an individual pediatric critical care medicine provider in Chicago, Illinois, licensed in Illinois (036-104599) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1997).

NPPES Registry Identity

NPI1306806278

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. KELLY NICOLE MICHELSONCredential: MD MPH

Location Address225 E CHICAGO AVEChicago, IL 60611-2605

Mailing Address225 E Chicago AveChicago, IL 60611-2605

Phone(312) 227-6000

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1997

Enumeration DateMarch 24, 2006

Last NPPES UpdateMay 1, 2012

✔ NPI 1306806278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in IL · 036-104599

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

225 E CHICAGO AVE, Chicago, IL 60611

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Other Identifiers 3

Medicare UPINI20679

Medicare ID-Type UnspecifiedK12222IL

Medicaid036104599IL

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

Dr. Kelly Nicole Michelson Md Mph 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 ID5698739357

PECOS Enrollment IDI20041112001111

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.

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.

BESSEY ELIZABETH JOSE GEEVARGHESE DO

Pediatrics