Ellen Kennelly, FNP in Lisle, IL - Medicare Nurse Practitioner

Ellen Kennelly, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lisle, Illinois. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dupage Medical Group Ltd and her current practice location is 430 Warrenville Rd Ste 230, Lisle, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 693-6437.

Ellen Kennelly is licensed to practice in Illinois (license number 209010942) 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 1376966333.

Contact Information

	Ellen Kennelly, FNP
	430 Warrenville Rd Ste 230, Lisle, IL 60532-1348
	(888) 693-6437
	(630) 432-6227

Map and Direction

Provider's Profile

Full Name	Ellen Kennelly
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	430 Warrenville Rd Ste 230, Lisle, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellen Kennelly graduated from nursing school in 2013

NPI Data:

NPI Number: 1376966333
Provider Enumeration Date: 01/28/2014
Last Update Date: 07/11/2023

Medicare PECOS Information:

PECOS PAC ID: 5092038570
Enrollment ID: I20150108002454

Medical Identifiers

Medical identifiers for Ellen Kennelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376966333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209010942 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dupage Medical Group Ltd	5496667941	1209

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. Ellen Kennelly allows following entities to bill medicare on her behalf.

Entity Name	Dupage Medical Group Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535

Entity Name	Mount Sinai Community Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032

Entity Name	Cepamerica Illinois Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587

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. Ellen Kennelly 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 Address	Practice Location Address
Ellen Kennelly, FNP Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200	Ellen Kennelly, FNP 430 Warrenville Rd Ste 230, Lisle, IL 60532-1348 Ph: (888) 693-6437

Reviews and Comments

Nurse Practitioner Nurses in Lisle, IL

Emma Servatius, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 430 Warrenville Rd, Lisle, IL 60532 Phone: 630-469-9200
Karla W Anderson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 Ogden Ave, Lisle, IL 60532 Phone: 630-323-3540 Fax: 630-323-9079
Andrea Marie Rizzo, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 Ogden Ave, Lisle, IL 60532 Phone: 331-903-1759 Fax: 708-246-1109
Sarah Ramsland, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 430 Warrenville Rd, Lisle, IL 60532 Phone: 630-286-5085
Lauren Gesell, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 430 Warrenville Rd Ste 300, Lisle, IL 60532 Phone: 630-364-7850 Fax: 630-432-6604
Nadezhda O Komarova, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6071 Mill Bridge Ln, Lisle, IL 60532 Phone: 312-532-5629
Jessica Oropeza, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 Warrenville Rd Ste 200, Lisle, IL 60532 Phone: 855-696-0073

Ellen Kennelly, FNP - Medicare Nurse Practitioner in Lisle, IL