Individual provider Active NPI

Kelly Lynn Holben, FNP-BC,APN,CNP,PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1972925097
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.011095 Issued in IL
Practice address
2285 Sequoia Dr
Aurora, IL 60506-6209
Phone
(630) 906-5120
Fax
(630) 906-5093
NPI assigned
Jan 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209011095 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.011095 IL Primary

Addresses

Primary practice location

2285 Sequoia Dr
Aurora, IL 60506-6209

Mailing address

28594 Network PL
Chicago, IL 60673-1285

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kweber218622@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140930002310 IL Practitioner - Nurse Practitioner 0840410502 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, shared by 39 NPIs, 3,081 clinicians

Practice addresses (Care Compare)

4100 Healthway Dr
Aurora, IL 60504-4163
Phone (630) 851-3105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209011095ILMDFamily Nurse Practitioner
209.011095ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince May 16, 2017 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince May 16, 2017 Accepting new patients
Friend Family Health Center Inc CurrentSince Sep 17, 2018 Accepting new patients
Paragon Clinical LLC Family CurrentSince Aug 18, 2014 Accepting new patients
Friend Family Health Center Inc CurrentSince Sep 17, 2018 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 24, 2025 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2022 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Ortho Rehab Specialists PLLC Past Accepting new patients

Locations

2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700

2285 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700

1221 N Highland Ave
Aurora, IL 60506
Phone (630) 859-6700

4100 Healthway Dr
Aurora, IL 60504
Phone (630) 851-3105

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193

28594 Network Pl
Chicago, IL 60673

29373 Network Pl
Chicago, IL 60673

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260

Interoperability endpoints

  • Direct secure messaging: kweber218622@direct.myadvocateaurora.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1972925097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28594 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 SEQUOIA DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605066209",
            "telephone_number": "630-906-5120",
            "fax_number": "630-906-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBEN",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC,APN,CNP,PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011095",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.011095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kweber218622@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4100 Healthway Dr",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605044163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4100 Healthway Dr",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605044163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.