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MRS. KELLY ANN VAEZ FNP
NPI 1912050782
Nurse Practitioner - Family in Chicago, IL

Active since January 18, 2007PECOS Enrolled
4423 N RAVENSWOOD AVE, CHICAGO, IL 60640(773) 432-6570 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Kelly Ann Vaez Fnp NPPES

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

MRS. KELLY ANN VAEZ FNP (NPI 1912050782) is an individual family provider in Chicago, Illinois, licensed in Illinois (277002141) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912050782
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY ANN VAEZCredential: FNP
Location Address4423 N RAVENSWOOD AVEChicago, IL 60640-5802
Mailing Address4423 N Ravenswood AveChicago, IL 60640-5802 · (773) 432-6570
Phone(773) 432-6570
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateNovember 2, 2023
NPPES CertifiedNovember 2, 2023
✔ NPI 1912050782 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 · 277002141
4423 N RAVENSWOOD AVE, Chicago, IL 60640
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)

Mrs. Kelly Ann Vaez Fnp 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 Reassignment

Medicare enrollment records show Kelly Vaez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Board Of Trustees Of The University Of Illinois
1.6 mi
Primary Care
3656 N HALSTED ST
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1588815401 (734) 726-4697

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 60640 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.

Other Providers at the Same Location NPPES 18

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

DR. EDDIE DYON BURKS PSYD, MED
Psychologist
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (847) 370-0700
YALAN QIN
Social Worker (Clinical)
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 537-3971
KIMBEAU ELLEN ROSENKRANZ
Marriage & Family Therapist
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 572-5400
SAMANTHA JOY ETSCHEID RN
Registered Nurse
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 572-5400
CLARENCE AARON KELLY LPC
Counselor (Mental Health)
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 537-3614
HEATHER WATSON LCSW
Social Worker (Clinical)
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 537-3036
THE THRESHOLDS
Clinic/Center (Mental Health (Including Community Mental Health Center))
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 572-5500
MORGAN GASPARD LCPC
Counselor (Mental Health)
4423 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 432-6343

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 Kelly Vaez's NPI number?

The NPI number for Kelly Vaez is 1912050782. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Kelly Vaez located?

Kelly Vaez practices at 4423 N Ravenswood Ave, Chicago, IL 60640. The listed phone number is (773) 432-6570.

What is Kelly Vaez's specialty?

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

Is Kelly Vaez enrolled in Medicare?

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

Which organization bills Medicare for Kelly Vaez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Vaez reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (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 Kelly Vaez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Vaez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kelly Vaez 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 Kelly Vaez was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.