KERRY J EHLERT-DONOVAN APN
NPI 1720373731
Nurse Practitioner - Family in Wauconda, IL

Active since June 17, 2011PECOS EnrolledAccepts Medicare Assignment
431 W LIBERTY ST, WAUCONDA, IL 60084(847) 526-2151(847) 526-2017 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2016, May 11, 2016 (2 updates tracked since 2016).

About Kerry J Ehlert-donovan Apn NPPES

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

KERRY J EHLERT-DONOVAN APN (NPI 1720373731) is an individual family provider in Wauconda, Illinois, licensed in Illinois (209008821) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1720373731
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKERRY J EHLERT-DONOVANCredential: APN
Location Address431 W LIBERTY STWauconda, IL 60084-2452
Mailing AddressPo Box 6037Wauconda, IL 60084-6037 · (847) 526-2151 · Fax (847) 526-2017
Fax(847) 526-2017
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 17, 2011
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1720373731 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
License✔ Licensed in IL · 209008821
431 W LIBERTY ST, Wauconda, IL 60084

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

Kerry J Ehlert-donovan Apn 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 ID7416129150
PECOS Enrollment IDI20110930000574
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

3

Medicare enrollment records show Kerry Ehlert-donovan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
604 W LIBERTY ST
Wauconda, IL 60084
  • Reassigned Medicare billing, Illinois enrollment
  • 23 clinicians in this Medicare group
Family Medicine
2680 ROUTE 83
Round Lake Beach, IL 60073
  • Reassigned Medicare billing, Illinois enrollment
  • 26 clinicians in this Medicare group
Family Medicine
930 MOUNT PROSPECT PLZ
Mt Prospect, IL 60056
  • Reassigned Medicare billing, Illinois enrollment
  • 26 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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services42 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
60 services45 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
57 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services32 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
31 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60084 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 20

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

Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084

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 Kerry Ehlert-donovan's NPI number?

The NPI number for Kerry Ehlert-donovan is 1720373731. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Kerry Ehlert-donovan located?

Kerry Ehlert-donovan practices at 431 W Liberty St, Wauconda, IL 60084. The listed phone number is (847) 526-2151.

What is Kerry Ehlert-donovan's specialty?

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

Is Kerry Ehlert-donovan enrolled in Medicare?

Yes. Kerry Ehlert-donovan 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 Kerry Ehlert-donovan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Ehlert-donovan reassigns Medicare benefits to 3 organizations: Family Medicine Specialists, S.C. (Wauconda, IL), Family Medicine Specialists Of Round Lake Incorporated S C (Round Lake Beach, IL) and Family Medicine Specialists Of Mount Prospect S C (Mt Prospect, IL). 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 Kerry Ehlert-donovan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerry Ehlert-donovan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Kerry Ehlert-donovan 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 Kerry Ehlert-donovan was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.