STACYE KELLERMANN
NPI 1831698646
Nurse Anesthetist, Certified Registered in Chicago, IL

Q: What is Stacye Kellermann's NPI number?

The NPI number for Stacye Kellermann is 1831698646. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Q: What is Stacye Kellermann's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Stacye Kellermann was last updated on February 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 07, 2018Accepts Medicare Assignment

87.08/100

CMS Quality Rating

1740 W TAYLOR ST STE 3200W, CHICAGO, IL 60612(312) 996-4022 Get Directions Write a Review

NPPES record last updated: February 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Stacye Kellermann NPPES

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

STACYE KELLERMANN (NPI 1831698646) is an individual nurse anesthetist, certified registered in Chicago, Illinois, licensed in Illinois (209.017235) and active in the NPI registry since February 2018. She is affiliated with University Of Illinois Hospital And Clinics and is a graduate of Georgetown University School Of Medicine (2017).

NPPES Registry Identity

NPI1831698646

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameSTACYE KELLERMANN

Location Address1740 W TAYLOR ST STE 3200WChicago, IL 60612-7232

Mailing Address31 Blondell CtLutherville, MD 21093-2003 · (443) 845-3232

Phone(312) 996-4022

Sole ProprietorYes

Medical School CMSGeorgetown University School Of MedicineGraduated 2017

Enumeration DateFebruary 7, 2018

✔ NPI 1831698646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in IL · 209.017235

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1740 W TAYLOR ST STE 3200W, Chicago, IL 60612

Open in Google Maps ↗

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

Stacye Kellermann 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 ID1052673118

PECOS Enrollment IDI20180329002094

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.79

Promoting Interoperability

100

Improvement Activities

Cost

52.82

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN KLEEMAN

Anesthesiology