NORA KENNELLY PMHNP-BC
NPI 1871355057
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL
About Nora Kennelly Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORA KENNELLY PMHNP-BC (NPI 1871355057) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209029185) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Nora Kennelly Pmhnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Nora Kennelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60623
- Reassigned Medicare billing, Illinois enrollment
- 210 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 60623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHICAGO, IL 60623
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 Nora Kennelly's NPI number?
The NPI number for Nora Kennelly is 1871355057. It was assigned to this individual provider in the NPPES registry on January 24, 2024.
Where is Nora Kennelly located?
Nora Kennelly practices at 2875 W 19th St, Chicago, IL 60623. The listed phone number is (708) 678-5112.
What is Nora Kennelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Nora Kennelly enrolled in Medicare?
Yes. Nora Kennelly 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 organization bills Medicare for Nora Kennelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nora Kennelly reassigns Medicare benefits to Saint Anthony Health Affiliates (Chicago, IL). The 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 Nora Kennelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nora Kennelly was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Nora Kennelly, PMHNP-BC · NPI 1871355057
Psychiatric/Mental Health physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since January 24, 2024.
## Identity
- **NPI:** 1871355057 (Entity type: Individual)
- **Enumerated:** January 24, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209029185 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2875 W 19TH ST, Chicago, IL 60623-3596
- **Phone:** (708) 678-5112
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Saint Anthony Health Affiliates (NPI 1295010056, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 12, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1871355057) · Data from the CMS NPPES public registry.