Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelli Nickols, APN

Individual provider Family Nurse Practitioner · NPI 1578847489

Kelli Nickols, APN is a Nurse Practitioner in Harvey, Illinois. Qualified in 2010, 16 years ago. Practices with University of Chicago, a 1,681-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2011
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

1 Ingalls Dr Wyman Gordon Pavilion- Home Care Division
Harvey, IL 60426-3558
Phone: (708) 915-4649
Fax: (708) 915-6357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209008896 (IL)

Record details

NPI number1578847489
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorYes
NPI enumeratedOctober 11, 2011
Last updated in NPPESNovember 5, 2012
Mailing address1 Ingalls Dr, Wyman Gordon Pavilion- Home Care Division, Harvey, IL 60426-3558

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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