Look up the most recent NPI and PECOS records

Kelly Nikitas

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kelly Nikitas is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1760342182
Provider Type
Individual
Full Name
Nikitas, Kelly
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
11/17/2025
Last Updated
11/17/2025

Contact Information

Practice Location

4848 W Byron St, Chicago, IL 60641-2712

(872) 304-6852

Unlisted Fax

Mailing Location

4848 W Byron St, Chicago, IL 60641-2712

(872) 304-6582

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 149030086 Illinois

Kelly Nikitas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Erin Gustafson Consulting Pllc

Kohler, Karah Marie

Mixon, Miriam A

Vargas, Lindsey Anna Marie

Pendergraff, Theresa

Hermes Tudor, Ann

Riley, Valerie

Cohler, Amy

Brickey, Corrie