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MAHARI KELLY APRN
NPI 1821552464
Nurse Practitioner - Family in Chicago, IL

Active since January 28, 2019PECOS Enrolled
818 S WOLCOTT AVE STE 802, CHICAGO, IL 60612(312) 996-4656 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mahari Kelly Aprn NPPES

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

MAHARI KELLY APRN (NPI 1821552464) is an individual family provider in Chicago, Illinois, licensed in Illinois (209018700) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821552464
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMAHARI KELLYCredential: APRN
Location Address818 S WOLCOTT AVE STE 802Chicago, IL 60612-3702
Mailing Address2811 W 91st StEvergreen Park, IL 60805-1339 · (773) 206-4466
Phone(312) 996-4656
Sole ProprietorNo
Enumeration DateJanuary 28, 2019
✔ NPI 1821552464 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 · 209018700
818 S WOLCOTT AVE STE 802, Chicago, IL 60612
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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 (PECOS)

Mahari Kelly Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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 Mahari Kelly's NPI number?

The NPI number for Mahari Kelly is 1821552464. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Where is Mahari Kelly located?

Mahari Kelly practices at 818 S Wolcott Ave Ste 802, Chicago, IL 60612. The listed phone number is (312) 996-4656.

What is Mahari Kelly's specialty?

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

Is Mahari Kelly enrolled in Medicare?

Yes. Mahari Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mahari Kelly was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.