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KELLI NICKOLS APN
NPI 1578847489
Nurse Practitioner - Family in Harvey, IL

Active since October 11, 2011PECOS EnrolledAccepts Medicare Assignment
1 INGALLS DR, WYMAN GORDON PAVILION- HOME CARE DIVISION, HARVEY, IL 60426(708) 915-4649(708) 915-6357 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelli Nickols Apn NPPES

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

KELLI NICKOLS APN (NPI 1578847489) is an individual family provider in Harvey, Illinois, licensed in Illinois (209008896) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1578847489
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLI NICKOLSCredential: APN
Location Address1 INGALLS DR, WYMAN GORDON PAVILION- HOME CARE DIVISIONHarvey, IL 60426-3558
Mailing Address1 Ingalls Dr, Wyman Gordon Pavilion- Home Care DivisionHarvey, IL 60426-3558 · (708) 915-4649 · Fax (708) 915-6357
Phone(708) 915-4649
Fax(708) 915-6357
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 11, 2011
Last NPPES UpdateNovember 5, 2012
✔ NPI 1578847489 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 · 209008896
1 INGALLS DR, Harvey, IL 60426
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Kelli Nickols Apn 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 ID2860666070
PECOS Enrollment IDI20111129000048
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

3

Medicare enrollment records show Kelli Nickols reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
13 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 635 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
13 mi
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200
Advanced Metrorehab Inc.
19 mi
Physical Medicine & Rehabilitation
1000 W WASHINGTON BLVD UNIT 142
Chicago, IL 60607
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1376676817 (773) 220-8835

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 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
13 services13 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.
11 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60426 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.

MARGARET ANN WOODS R.D.
Dietitian, Registered
1 INGALLS DR, INGALLS MEMORIAL HOSPITAL
HARVEY, IL 60426
Cook County (708) 915-7534
INGALLS MEMORIAL HOSPITAL
Rehabilitation Unit
1 INGALLS DR
HARVEY, IL 60426
Cook County (708) 915-6107
MRS. SARA C SUNGKAPAN MS, OTR/L
Occupational Therapist
1 INGALLS DR
HARVEY, IL 60426
Cook County (708) 915-5962
ASSOCIATED LABORATORY PHYSICIANS SC
Pathology (Anatomic Pathology & Clinical Pathology)
1 INGALLS DR, PATHOLOGY DEPT.
HARVEY, IL 60426
Cook County (708) 915-5763
MARK STOSSEL M.D.
Emergency Medicine
1 INGALLS DR
HARVEY, IL 60426
Cook County (708) 332-2300
MRS. NANCY R. DUMONT OT
Rehabilitation Hospital
1 INGALLS DR
HARVEY, IL 60426
Cook County (708) 333-2300
LARRY L FOSTER P.A.
Physician Assistant
1 INGALLS DR
HARVEY, IL 60426
Cook County (708) 332-2300
JUDITH NG WEN RDN
Dietitian, Registered
1 INGALLS DR
HARVEY, IL 60426
Cook County (708) 915-5945

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 Kelli Nickols's NPI number?

The NPI number for Kelli Nickols is 1578847489. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Where is Kelli Nickols located?

Kelli Nickols practices at 1 Ingalls Dr Wyman Gordon Pavilion- Home Care Division, Harvey, IL 60426. The listed phone number is (708) 915-4649.

What is Kelli Nickols's specialty?

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

Is Kelli Nickols enrolled in Medicare?

Yes. Kelli Nickols 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 Kelli Nickols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Nickols reassigns Medicare benefits to 3 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL) and Advanced Metrorehab Inc. (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 Kelli Nickols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Nickols accept?

Health plans from Oscar Health list Kelli Nickols 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 Kelli Nickols affiliated with any hospitals?

According to CMS data, Kelli Nickols is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Kelli Nickols was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.