NPPES file of Aug 9, 2026

Kelly Dietrick

Physician Assistant · Chicago, IL

Kelly Dietrick is a physician assistant with a practice address in Chicago, Illinois, and NPI 1265393003, issued on Nov 20, 2025. Check the license (Illinois 085-011805, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1265393003
Name
Kelly Dietrick
Primary taxonomy
Physician Assistant 363A00000X
License number
085-011805 IL
Self-reported in NPPES; status is on the state search
Practice location
6140 N Broadway St, Chicago, IL 60660
Phone
(224) 795-3521
Enumerated
Nov 20, 2025
Record last updated
Nov 20, 2025
Medicare enrollment
Enrolled (PECOS I20260109001676); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest physician assistant records → All 4,926 in Illinois → Look up another NPI →

Also registered at 6140 N Broadway St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Blake Childress, PA-CPhysician Assistant1750178190
  2. Mekenna Frederick, PA-CPhysician Assistant1316744642

Verify Kelly Dietrick in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 085-011805    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Physicians Immediate Care North Chicago LLCChicago, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kelly Dietrick among 4,926 physician assistant records in Illinois

Kelly Dietrick is one of 4,926 physician assistant records with a practice address in Illinois. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 90% of them.

  • NPI issued2025 · 90% of these records are older, 3% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2025 · median 2019 among the 3,407 with a school on file
  • Record last updated2025 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1,445 physician assistant records list a practice address in Chicago

They are 1,445 of the 63,379 NPPES records with a practice address in Chicago, and 4,926 physician assistant records in Illinois.

All 4,926 in Illinois → Every provider in Chicago → Physician Assistant nationwide →

The 8 physician assistant records with the nearest ZIP codes

  1. Blake Childress, PA-CChicago, IL 606601750178190
  2. Masha ChizhikChicago, IL 606601841614666
  3. Jamie Ellingwood, PAChicago, IL 606601952544488
  4. Mekenna Frederick, PA-CChicago, IL 606601316744642
  5. Stephanie Laser, M.M.S,, PA-CChicago, IL 606601194155283
  6. Rose Ali, PA-CChicago, IL 606611003085796
  7. Michelle Arnesen, PA-CChicago, IL 606611396913885
  8. Leah Brown, PA-C, MMSChicago, IL 606611780814525

Common questions

What is Kelly Dietrick's NPI number?

Kelly Dietrick's National Provider Identifier (NPI) is 1265393003, issued on Nov 20, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Kelly Dietrick located?

The NPPES record lists a practice address at 6140 N Broadway St, Chicago, IL, 60660. Phone: (224) 795-3521. Providers update this record themselves, so call before visiting.

How can I verify Kelly Dietrick's license?

NPPES lists Illinois license number 085-011805, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.