MS. KELLY CHRISTINE CLEMENS FNP-BC
NPI 1508427949
Nurse Practitioner - Family in Chicago, IL
About Ms. Kelly Christine Clemens Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY CHRISTINE CLEMENS FNP-BC (NPI 1508427949) is an individual family provider in Chicago, Illinois, licensed in Illinois (2019034308) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Ms. Kelly Christine Clemens Fnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Clemens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 2,127 clinicians in this Medicare group
Kankakee, IL 60901
- Reassigned Medicare billing, Illinois enrollment
- 381 clinicians in this Medicare group
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 2
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.
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, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHICAGO, IL 60612
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 Clemens's NPI number?
The NPI number for Kelly Clemens is 1508427949. It was assigned to this individual provider in the NPPES registry on June 26, 2019.
Where is Kelly Clemens located?
Kelly Clemens practices at 1801 W Taylor St, Chicago, IL 60612. The listed phone number is (312) 355-1625.
What is Kelly Clemens's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Clemens enrolled in Medicare?
Yes. Kelly Clemens 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 Kelly Clemens's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Clemens reassigns Medicare benefits to 2 organizations: Board Of Trustees Of The University Of Illinois (Chicago, IL) and Riverside Health System (Kankakee, 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 Kelly Clemens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelly Clemens affiliated with any hospitals?
According to CMS data, Kelly Clemens is affiliated with University Of Illinois Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Kelly Clemens was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Kelly Christine Clemens, FNP-BC · NPI 1508427949
Family physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since June 26, 2019.
## Identity
- **NPI:** 1508427949 (Entity type: Individual)
- **Enumerated:** June 26, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2019034308 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1801 W TAYLOR ST, Chicago, IL 60612-4795
- **Phone:** (312) 355-1625 · **Fax:** (312) 355-1515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Board Of Trustees Of The University Of Illinois (NPI 1669691788, Chicago, IL); Riverside Health System (NPI 1417061193, Kankakee, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508427949) · Data from the CMS NPPES public registry.