KALEY JANE O'DONNELL PA-C
NPI 1821836487
Physician Assistant - Surgical in Skokie, IL
About Kaley Jane O'donnell Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALEY JANE O'DONNELL PA-C (NPI 1821836487) is an individual surgical provider in Skokie, Illinois, licensed in Illinois (085010575) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Kaley Jane O'donnell Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northshore University Healthsystem - Evanston Hospital
Acute Care Hospitals · Evanston, ILFrequently 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 Kaley O'donnell's NPI number?
The NPI number for Kaley O'donnell is 1821836487. It was assigned to this individual provider in the NPPES registry on July 17, 2024.
Where is Kaley O'donnell located?
Kaley O'donnell practices at 9600 Gross Point Rd # 4517, Skokie, IL 60076. The listed phone number is (847) 677-9600.
What is Kaley O'donnell's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kaley O'donnell enrolled in Medicare?
Yes. Kaley O'donnell 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.
Is Kaley O'donnell affiliated with any hospitals?
According to CMS data, Kaley O'donnell is affiliated with Northshore University Healthsystem - Evanston Hospital.
When was this NPI record last updated?
The NPPES record for Kaley O'donnell was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Kaley Jane O'donnell, PA-C · NPI 1821836487
Surgical physician in Skokie, Illinois. Individual provider, active in the CMS NPPES registry since July 17, 2024.
## Identity
- **NPI:** 1821836487 (Entity type: Individual)
- **Enumerated:** July 17, 2024
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 085010575 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9600 GROSS POINT RD # 4517, Skokie, IL 60076-1214
- **Phone:** (847) 677-9600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1821836487) · Data from the CMS NPPES public registry.