KELLY LENNEMAN
NPI 1588338172
Physician Assistant in Evergreen Park, IL

Q: What is Kelly Lenneman's NPI number?

The NPI number for Kelly Lenneman is 1588338172. It was assigned to this individual provider in the NPPES registry on August 6, 2021.

Q: What is Kelly Lenneman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Lenneman was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 06, 2021PECOS EnrolledAccepts Medicare Assignment

3749 W 95TH ST, EVERGREEN PARK, IL 60805(844) 372-7672 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2021, Aug 6, 2021 (2 updates tracked since 2021).

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About Kelly Lenneman NPPES

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

KELLY LENNEMAN (NPI 1588338172) is an individual physician assistant in Evergreen Park, Illinois and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Alexian Brothers Medical Center 1, and maintains a secondary practice location in Lakewood.

NPPES Registry Identity

NPI1588338172

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLY LENNEMAN

Location Address3749 W 95TH STEvergreen Park, IL 60805-2019

Mailing Address2647 S Xenon WayLakewood, CO 80228-4941

Phone(844) 372-7672

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 6, 2021

Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration

NPPES CertifiedDecember 8, 2021

✔ NPI 1588338172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3749 W 95TH ST, Evergreen Park, IL 60805

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Secondary Practice Location 1

Location 12647 S Xenon WayLakewood, CO 80228-4941 · Phone (303) 601-0865

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 Lenneman 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 ID7618466152

PECOS Enrollment IDI20251027001473

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.

Hospital Affiliations CMS Care Compare 2

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

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140258

Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County

Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140290

Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60805 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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 8

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

JULIE CHANG MMS, PA-C

Physician Assistant