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KELSEY L PROEHL FNP-BC
NPI 1699315697
Nurse Practitioner - Family in Deer Park, IL

Active since January 08, 2020PECOS Enrolled
21660 W FIELD PKWY, DEER PARK, IL 60010(888) 803-3370 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2024, Feb 25, 2020, Jan 8, 2020 (3 updates tracked since 2020).

About Kelsey L Proehl Fnp-bc NPPES

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

KELSEY L PROEHL FNP-BC (NPI 1699315697) is an individual family provider in Deer Park, Illinois, licensed in Illinois (277.00235) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699315697
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY L PROEHLCredential: FNP-BC
Location Address21660 W FIELD PKWYDeer Park, IL 60010-7265
Mailing Address2894 Sand Oak LoopApopka, FL 32712-1438 · (517) 202-0836 · Fax (517) 202-0836
Phone(888) 803-3370
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 8, 2020
Last NPPES UpdateJuly 31, 20253 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1699315697 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
Licenses✔ Licensed in IL · 277.00235✔ Licensed in CA · 95036398✔ Licensed in WA · 61331449
21660 W FIELD PKWY, Deer Park, IL 60010
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1555 Andover Park W Ste 200Tukwila, WA 98188-3379 · Phone (415) 840-0560
Location 2333 1st St Ste ASan Francisco, CA 94105-2661 · Phone (415) 840-0560

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey L Proehl Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729465448
PECOS Enrollment IDI20260309001159, I20260407001308
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 60010 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 13

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

TYLER HUANG
Student in an Organized Health Care Education/Training Program
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (847) 692-9234
DR. MARTIN J ZIDRON D.D.S.
Dentist (Oral and Maxillofacial Pathology)
21660 W FIELD PKWY, SUITE 220
DEER PARK, IL 60010
Cook County (847) 381-0106
IRINA FRENKEL MSN, FNP-BC
Nurse Practitioner (Family)
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (847) 338-0339
MRS. DOMINNO CAROLINE FOGLE M.M.S., PA-C
Physician Assistant (Medical)
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (888) 803-3370
DANESHA HOWARD FNP-BC
Nurse Practitioner (Family)
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (630) 949-7369
SERAPHIC FAMILY CARE AND WELLNESS LLC
Clinic/Center (Primary Care)
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (847) 900-8796
DR. JOHN TRAVIS THOMPSON D.D.S.
Dentist (Oral and Maxillofacial Surgery)
21660 W FIELD PKWY, SUITE 220
DEER PARK, IL 60010
Cook County (847) 381-0106
NIKKI BORAH TANG PA-C
Physician Assistant
21660 W FIELD PKWY
DEER PARK, IL 60010
Cook County (888) 803-3370

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 Kelsey Proehl's NPI number?

The NPI number for Kelsey Proehl is 1699315697. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Kelsey Proehl located?

Kelsey Proehl practices at 21660 W Field Pkwy, Deer Park, IL 60010. The listed phone number is (888) 803-3370.

What is Kelsey Proehl's specialty?

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

Is Kelsey Proehl enrolled in Medicare?

Yes. Kelsey Proehl is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Proehl was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.