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KELLY DUGAN NP
NPI 1528580065
Nurse Practitioner in Chicago, IL

Active since July 15, 2017PECOS EnrolledAccepts Medicare Assignment
2850 S WABASH AVE STE 106, CHICAGO, IL 60616(312) 842-4400(312) 842-4595 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2021, Jul 16, 2020, Jul 9, 2020 and 2 more (5 updates tracked since 2017).

About Kelly Dugan Np NPPES

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

KELLY DUGAN NP (NPI 1528580065) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209015727) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528580065
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY DUGANCredential: NP
Location Address2850 S WABASH AVE STE 106Chicago, IL 60616-2491
Mailing Address2850 S Wabash Ave Ste 106Chicago, IL 60616-2491 · (312) 842-4400 · Fax (312) 842-4595
Phone(312) 842-4400
Fax(312) 842-4595
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 15, 2017
Last NPPES UpdateJuly 21, 20215 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1528580065 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 · 209015727
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.
2850 S WABASH AVE STE 106, Chicago, IL 60616
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Kelly Dugan Np 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 ID9931469574
PECOS Enrollment IDI20180130003030
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.

Areas of Expertise CMS Part B claims 9

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.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
124 services92 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
118 services88 patients
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.
100 services76 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.
83 services67 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.
75 services61 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services31 patients

Hospital Affiliations CMS Care Compare 5

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Saint Anthony Hospital

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140095
Location2875 West 19th StreetChicago, IL 60623 · Cook County
Emergency services Birthing friendly

Insight Hospital And Medical Center Chicago

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140158
Location2525 S Michigan AveChicago, IL 60616 · Cook County
Emergency services

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60616 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.

Other Providers at the Same Location NPPES 2

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

FIONA LANE DNP
Nurse Practitioner (Adult Health)
2850 S WABASH AVE STE 106
CHICAGO, IL 60616
Cook County (312) 842-4400
UROPARTNERS, LLC
Durable Medical Equipment & Medical Supplies
2850 S WABASH AVE STE 106
CHICAGO, IL 60616
Cook County (312) 842-4400

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 Dugan's NPI number?

The NPI number for Kelly Dugan is 1528580065. It was assigned to this individual provider in the NPPES registry on July 15, 2017.

Where is Kelly Dugan located?

Kelly Dugan practices at 2850 S Wabash Ave Ste 106, Chicago, IL 60616. The listed phone number is (312) 842-4400.

What is Kelly Dugan's specialty?

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

Is Kelly Dugan enrolled in Medicare?

Yes. Kelly Dugan 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.

What insurance does Kelly Dugan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kelly Dugan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Dugan affiliated with any hospitals?

According to CMS data, Kelly Dugan is affiliated with Northshore University Healthsystem - Evanston Hospital, Advocate Trinity Hospital, Saint Anthony Hospital, Insight Hospital And Medical Center Chicago and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Dugan was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.