1. Home
  2. Directory
  3. Illinois
  4. Lisle
  5. Nurse Practitioner
  6. NPI Profile

ELLEN KENNELLY FNP
NPI 1376966333
Nurse Practitioner - Family in Lisle, IL

Active since January 28, 2014PECOS EnrolledAccepts Medicare Assignment
430 WARRENVILLE RD STE 230, LISLE, IL 60532(888) 693-6437(630) 432-6227 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ellen Kennelly Fnp NPPES

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

ELLEN KENNELLY FNP (NPI 1376966333) is an individual family provider in Lisle, Illinois, licensed in Illinois (209010942) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1376966333
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLEN KENNELLYCredential: FNP
Location Address430 WARRENVILLE RD STE 230Lisle, IL 60532-1348
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200
Phone(888) 693-6437
Fax(630) 432-6227
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 28, 2014
Last NPPES UpdateJuly 11, 2023
NPPES CertifiedJuly 11, 2023
✔ NPI 1376966333 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
License✔ Licensed in IL · 209010942
430 WARRENVILLE RD STE 230, Lisle, IL 60532
Open in Google Maps ↗

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

Ellen Kennelly Fnp 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 ID5092038570
PECOS Enrollment IDI20150108002454
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

4

Medicare enrollment records show Ellen Kennelly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dupage Medical Group Ltd
2.8 mi
Multi-Specialty
1100 W 31ST ST, STE 300
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 1,061 clinicians in this Medicare group
NPI 1801833983 (630) 469-9200
Cepamerica Illinois LLP
12 mi
Emergency Medicine
1225 W LAKE ST
Melrose Park, IL 60160
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
NPI 1669758546 (708) 938-7190
Mount Sinai Community Foundation
14 mi
Internal Medicine
610 S MAPLE AVE, STE 2100
Oak Park, IL 60304
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
NPI 1215046347 (708) 848-7373
The Board Of Trustees Of The University Of Illinois
20 mi
Federally Qualified Health Center (FQHC)
1220 S. WOOD STREET, UIH-MILE SQUARE HEALTH CENTER
Chicago, IL 60608
  • Reassigned Medicare billing, Illinois enrollment
  • 113 clinicians in this Medicare group
NPI 1669493466 (312) 413-1261

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.
62 services62 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.
54 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
47 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
41 services41 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services25 patients

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60532 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 11

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

THOMAS EDWARD REARDON P.A.
Physician Assistant (Medical)
430 WARRENVILLE RD STE 230
LISLE, IL 60532
Dupage County (888) 693-6437
MATT M RIEGER P.A.
Physician Assistant
430 WARRENVILLE RD STE 230
LISLE, IL 60532
Dupage County (888) 693-6437
DR. TED C SHIEH M.D.
Emergency Medicine
430 WARRENVILLE RD STE 230
LISLE, IL 60532
Dupage County (630) 432-6200
MATTHEW MCLINDEN N.P.
Nurse Practitioner
430 WARRENVILLE RD STE 230
LISLE, IL 60532
Dupage County (888) 693-6437
NANCY EISEMAN M.D.
Emergency Medicine
430 WARRENVILLE RD STE 230
LISLE, IL 60532
Dupage County (888) 693-6437
JONATHAN CLAUD M.D.
Emergency Medicine
430 WARRENVILLE RD STE 230
LISLE, IL 60532
Dupage County (888) 693-6437
ABEER DUGGAL PA-C
Physician Assistant
430 WARRENVILLE RD STE 230
LISLE, IL 60532
Dupage County (888) 693-6437
DR. ALISSA RACHEL GORELICK-WISNIEWSKI D.O.
Emergency Medicine
430 WARRENVILLE RD STE 230
LISLE, IL 60532
Dupage County (888) 693-6437

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 Ellen Kennelly's NPI number?

The NPI number for Ellen Kennelly is 1376966333. It was assigned to this individual provider in the NPPES registry on January 28, 2014.

Where is Ellen Kennelly located?

Ellen Kennelly practices at 430 Warrenville Rd Ste 230, Lisle, IL 60532. The listed phone number is (888) 693-6437.

What is Ellen Kennelly's specialty?

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

Is Ellen Kennelly enrolled in Medicare?

Yes. Ellen Kennelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ellen Kennelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Kennelly reassigns Medicare benefits to 4 organizations: Dupage Medical Group Ltd (Downers Grove, IL), Cepamerica Illinois LLP (Melrose Park, IL), Mount Sinai Community Foundation (Oak Park, IL) and The Board Of Trustees Of The University Of Illinois (Chicago, IL). 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 Ellen Kennelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ellen Kennelly affiliated with any hospitals?

According to CMS data, Ellen Kennelly is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Ellen Kennelly was last updated on July 11, 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.