LAUREN ELLIS FNP
NPI 1558996090
Nurse Practitioner - Family in Merrionette Park, IL

Active since March 05, 2020PECOS Enrolled
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803(708) 272-4150 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lauren Ellis Fnp NPPES

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

LAUREN ELLIS FNP (NPI 1558996090) is an individual family provider in Merrionette Park, Illinois, licensed in Illinois (209020853) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1558996090
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAUREN ELLISCredential: FNP
Location Address11600 S KEDZIE AVEMerrionette Park, IL 60803-6307
Mailing Address521 W Briar Pl Apt 304Chicago, IL 60657-4654 · (248) 943-1274
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
NPI 1558996090 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 · 209020853
11600 S KEDZIE AVE, Merrionette Park, IL 60803

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lauren Ellis Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436580461
PECOS Enrollment IDI20260521004105
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 60803 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 20

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

Radiology (Diagnostic Radiology)
11600 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Optometrist
11600 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Internal Medicine
11600 S KEDZIE AVE, SUITE A
MERRIONETTE PARK, IL 60803
Clinic/Center (Physical Therapy)
11600 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Internal Medicine
11600 S KEDZIE AVE, SUITE B
MERRIONETTE PARK, IL 60803
Optometrist
11600 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Internal Medicine
11600 S KEDZIE AVE, SUITE D
MERRIONETTE PARK, IL 60803
Nurse Practitioner (Family)
11600 S KEDZIE AVE
MERRIONETTE PARK, IL 60803

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 Lauren Ellis's NPI number?

The NPI number for Lauren Ellis is 1558996090. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Where is Lauren Ellis located?

Lauren Ellis practices at 11600 S Kedzie Ave, Merrionette Park, IL 60803. The listed phone number is (708) 272-4150.

What is Lauren Ellis's specialty?

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

Is Lauren Ellis enrolled in Medicare?

Yes. Lauren Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Ellis was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.