KELLY ELAM NP
NPI 1679011407
Nurse Practitioner in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 31, 2017PECOS Enrolled

225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-4000 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelly Elam Np NPPES

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

KELLY ELAM NP (NPI 1679011407) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209014776) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679011407

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY ELAMCredential: NP

Location Address225 E CHICAGO AVEChicago, IL 60611-2991

Mailing Address225 E Chicago AveChicago, IL 60611-2991 · (312) 227-4000

Phone(312) 227-4000

Sole ProprietorNo

Enumeration DateJanuary 31, 2017

✔ NPI 1679011407 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 · 209014776

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.

225 E CHICAGO AVE, Chicago, IL 60611

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Elam Np 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 60611 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.