MICHAEL E. FANELLI RN
NPI 1770106965
Nurse Practitioner - Gerontology in Chicago, IL

Q: What is Michael Fanelli's NPI number?

The NPI number for Michael Fanelli is 1770106965. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Q: What is Michael Fanelli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Michael Fanelli was last updated on February 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 21, 2020PECOS EnrolledAccepts Medicare Assignment

4025 N SHERIDAN RD, CHICAGO, IL 60613(773) 388-1600 Get Directions Write a Review

NPPES record last updated: February 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2026, Aug 31, 2020, Aug 12, 2020 and 1 more (4 updates tracked since 2020).

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About Michael E. Fanelli Rn NPPES

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

MICHAEL E. FANELLI RN (NPI 1770106965) is an individual gerontology provider in Chicago, Illinois, licensed in Illinois (209021539) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770106965

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameMICHAEL E. FANELLICredential: RN

Location Address4025 N SHERIDAN RDChicago, IL 60613-2010

Mailing Address4025 N Sheridan RdChicago, IL 60613-2010 · (773) 388-1600

Phone(773) 388-1600

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMay 21, 2020

Last NPPES UpdateFebruary 14, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2026

✔ NPI 1770106965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IL · 209021539

4025 N SHERIDAN RD, Chicago, IL 60613

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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 and accepts Medicare assignment

Michael E. Fanelli Rn 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 ID4880013143

PECOS Enrollment IDI20201006001803

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140182

Location836 West Wellington AvenueChicago, IL 60657 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$185.12 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.

SUMMER KEE APRN

Nurse Practitioner (Psychiatric/Mental Health)