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

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: November 01, 2026.

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

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, maintains a secondary practice location in Washington, 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
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

Secondary Practice Location 1

Location 15255 Loughboro Rd NWWashington, DC 20016-2696 · Phone (202) 537-4553

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Fanelli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
4025 N SHERIDAN RD
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 143 clinicians in this Medicare group
Diagnostic Radiology
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 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 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.

Nurse Practitioner (Psychiatric/Mental Health)
4025 N SHERIDAN RD
CHICAGO, IL 60613
Family Medicine
4025 N SHERIDAN RD
CHICAGO, IL 60613
Psychologist
4025 N SHERIDAN RD
CHICAGO, IL 60613
Physician Assistant
4025 N SHERIDAN RD
CHICAGO, IL 60613
Psychologist (Clinical)
4025 N SHERIDAN RD
CHICAGO, IL 60613
Family Medicine
4025 N SHERIDAN RD
CHICAGO, IL 60613
Nurse Practitioner (Family)
4025 N SHERIDAN RD
CHICAGO, IL 60613
Psychologist (Clinical)
4025 N SHERIDAN RD
CHICAGO, IL 60613

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 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.

Where is Michael Fanelli located?

Michael Fanelli practices at 4025 N Sheridan Rd, Chicago, IL 60613. The listed phone number is (773) 388-1600.

What is Michael Fanelli's specialty?

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

Is Michael Fanelli enrolled in Medicare?

Yes. Michael Fanelli 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 Michael Fanelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Fanelli reassigns Medicare benefits to 2 organizations: Howard Brown Health Center (Chicago, IL) and Rush University Medical Center (Chicago, 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 Michael Fanelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Fanelli accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Michael Fanelli 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 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 8 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.