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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: October 25, 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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

The Board Of Trustees Of The University Of Illinois
Same address
Occupational Medicine
835 S. WOLCOTT, SUITE E-144; MC 684
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1043727571 (312) 996-7420
Transitions Home Medical Group PLLC
17 mi
Nurse Practitioner
2312 TOUHY AVE
Elk Grove Village, IL 60007
  • Reassigned Medicare billing, Illinois enrollment
  • 44 clinicians in this Medicare group
NPI 1871890657 (847) 515-1505

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 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.

Which organizations bill Medicare for Mahari Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahari Kelly reassigns Medicare benefits to 2 organizations: The Board Of Trustees Of The University Of Illinois (Chicago, IL) and Transitions Home Medical Group PLLC (Elk Grove Village, 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 Mahari Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mahari Kelly accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mahari Kelly 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 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.