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

Kelly Peterson, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1447782446

Kelly Peterson, AGPCNP-BC is a Nurse Practitioner in Chicago, Illinois. Qualified in 2016, 10 years ago. Practices with The University of Chicago Medical Center, a 909-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1447
Phone: (773) 926-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 209015804 (IL)

Record details

NPI number1447782446
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedMarch 29, 2017
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The University Of Chicago Medical Center — 909 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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