Dr Kathryn M Ellis, APRN, DNP, PMHNP-BC - Medicare Nurse Practitioner in Chicago, IL

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Dr Kathryn M Ellis, APRN, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chicago, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Serene Health, Rockford Health Physicians and her current practice location is 845 S Damen Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 996-7800.

Dr Kathryn M Ellis is licensed to practice in Illinois (license number 209024003) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689223232.

Contact Information

Dr Kathryn M Ellis, APRN, DNP, PMHNP-BC
845 S Damen Ave,
Chicago, IL 60612-3727
(312) 996-7800
Not Available

Map and Direction




Provider's Profile

Full NameDr Kathryn M Ellis
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location845 S Damen Ave, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kathryn M Ellis attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2021
  NPI Data:
  • NPI Number: 1689223232
  • Provider Enumeration Date: 09/06/2019
  • Last Update Date: 10/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3072904937
  • Enrollment ID: I20220103001928

Medical Identifiers

Medical identifiers for Dr Kathryn M Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689223232NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209024003 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Serene Health024465213923
Rockford Health Physicians2567374036520

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kathryn M Ellis allows following entities to bill medicare on her behalf.
Entity NameRockford Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031111000307
Entity NameCounty of Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013920750
PECOS PAC ID: 7214838861
Enrollment ID: O20040116000192
Entity NameSerene Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265182992
PECOS PAC ID: 0244652139
Enrollment ID: O20240325001560
Entity NameSondermind PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003646977
PECOS PAC ID: 0547795791
Enrollment ID: O20241125001063

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathryn M Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kathryn M Ellis, APRN, DNP, PMHNP-BC
845 S Damen Ave,
Chicago, IL 60612-3727

Ph: (312) 996-7800		Dr Kathryn M Ellis, APRN, DNP, PMHNP-BC
845 S Damen Ave,
Chicago, IL 60612-3727

Ph: (312) 996-7800

Reviews and Comments


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Phone: 312-942-5904    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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