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JESSE KELSO
NPI 1629659057
Hospitalist in Evanston, IL

Active since April 17, 2021PECOS Enrolled
2650 RIDGE AVE, EVANSTON, IL 60201(847) 982-6710 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2025, Apr 15, 2024, Jun 21, 2021 and 1 more (4 updates tracked since 2021).

About Jesse Kelso NPPES

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

JESSE KELSO (NPI 1629659057) is an individual hospitalist provider in Evanston, Illinois, licensed in Illinois (036165437) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629659057
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJESSE KELSO
Location Address2650 RIDGE AVEEvanston, IL 60201-1700
Mailing Address4901 Searle PkwySkokie, IL 60077-5313 · (847) 982-6710
Phone(847) 982-6710
Sole ProprietorNo
Enumeration DateApril 17, 2021
Last NPPES UpdateMarch 11, 20254 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1629659057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036165437
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036-165437 (IL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036-165437 (IL)
2650 RIDGE AVE, Evanston, IL 60201
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15841 S Maryland AveChicago, IL 60637-1443 · Phone (847) 570-4789
Location 21620 W Harrison StChicago, IL 60612-3801 · Phone (312) 942-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Kelso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60201 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, fixed height, with any type side rails, with mattress E0250
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$38.26 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$15.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. THOMAS LEE CIBULL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-2040
DR. DANIEL K. WEST MD
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201
Cook County (847) 570-2475
JOEL BERNSTEIN M.D.
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-1206
MATTHEW R. SHERWOOD MD
Internal Medicine
2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201
Cook County (847) 570-1010
MICHAEL T. GILLAM M.D.
Emergency Medicine
2650 RIDGE AVE, EMERGENCY MEDICINE RM G909
EVANSTON, IL 60201
Cook County (847) 570-2114
MARLENE ANGELICO CNP
Nurse Practitioner (Acute Care)
2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201
Cook County (847) 570-1355
DR. SADIE ANNE LAPONSIE M.D.
Pediatrics
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-2000
ANNE PEIFFER MD
Obstetrics & Gynecology
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-3624

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 Jesse Kelso's NPI number?

The NPI number for Jesse Kelso is 1629659057. It was assigned to this individual provider in the NPPES registry on April 17, 2021.

Where is Jesse Kelso located?

Jesse Kelso practices at 2650 Ridge Ave, Evanston, IL 60201. The listed phone number is (847) 982-6710.

What is Jesse Kelso's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jesse Kelso enrolled in Medicare?

Yes. Jesse Kelso is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Kelso was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.