DR. KATHRYN M ELLIS APRN, DNP, PMHNP-BC
NPI 1689223232
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since September 06, 2019PECOS EnrolledAccepts Medicare Assignment
845 S DAMEN AVE, CHICAGO, IL 60612(312) 996-7800 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 4, 2024, Jul 29, 2024, Sep 6, 2019 (3 updates tracked since 2019).

About Dr. Kathryn M Ellis Aprn, Dnp, Pmhnp-bc NPPES

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

DR. KATHRYN M ELLIS APRN, DNP, PMHNP-BC (NPI 1689223232) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209024003) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2021).

NPPES Registry Identity

NPI1689223232
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. KATHRYN M ELLISCredential: APRN, DNP, PMHNP-BC
Location Address845 S DAMEN AVEChicago, IL 60612-3727
Mailing Address845 S Damen AveChicago, IL 60612-3727 · (312) 996-7800
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2021
Enumeration DateSeptember 6, 2019
Last NPPES UpdateOctober 4, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1689223232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209024003
845 S DAMEN AVE, Chicago, IL 60612

Accepted 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

Dr. Kathryn M Ellis Aprn, Dnp, Pmhnp-bc 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 ID3072904937
PECOS Enrollment IDI20220103001928
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

5

Medicare enrollment records show Kathryn Ellis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
16335 HARLEM AVE STE 300
Tinley Park, IL 60477
  • Reassigned Medicare billing, Illinois enrollment
  • 14 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1840 GREEN BAY RD
Highland Park, IL 60035
  • Reassigned Medicare billing, Illinois enrollment
  • 151 clinicians in this Medicare group
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Illinois enrollment
  • 671 clinicians in this Medicare group
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, Illinois enrollment
  • 106 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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.

Student in an Organized Health Care Education/Training Program
845 S DAMEN AVE
CHICAGO, IL 60612
Registered Nurse
845 S DAMEN AVE
CHICAGO, IL 60612
Obstetrics & Gynecology
845 S DAMEN AVE
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
845 S DAMEN AVE
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
845 S DAMEN AVE
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
845 S DAMEN AVE
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
845 S DAMEN AVE
CHICAGO, IL 60612
Nurse Practitioner (Family)
845 S DAMEN AVE
CHICAGO, IL 60612

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 Kathryn Ellis's NPI number?

The NPI number for Kathryn Ellis is 1689223232. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Where is Kathryn Ellis located?

Kathryn Ellis practices at 845 S Damen Ave, Chicago, IL 60612. The listed phone number is (312) 996-7800.

What is Kathryn Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kathryn Ellis enrolled in Medicare?

Yes. Kathryn Ellis 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 Kathryn Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Ellis reassigns Medicare benefits to 5 organizations: Serene Health (Tinley Park, IL), County Of Lake (Highland Park, IL), Rockford Health Physicians (Rockford, IL), Mercy Health System Corporation (Janesville, WI) and Sondermind PC (San Jose, CA). 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 Kathryn Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Ellis accept?

Health plans from Oscar Health and UnitedHealthcare list Kathryn Ellis 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.

When was this NPI record last updated?

The NPPES record for Kathryn Ellis was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.