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CHRISTY KELLEY N.P
NPI 1053666792
Nurse Practitioner - Family in Irvington, IL

Active since July 18, 2012PECOS EnrolledAccepts Medicare Assignment
205 EAST HURON ST., IRVINGTON, IL 62848(618) 249-6203(618) 249-6263 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Christy Kelley N.p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTY KELLEY N.P (NPI 1053666792) is an individual family provider in Irvington, Illinois, licensed in Illinois (209009607) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1053666792
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHRISTY KELLEYCredential: N.P
Location Address205 EAST HURON ST.Irvington, IL 62848
Mailing Address19841 N Iris LnMount Vernon, IL 62864-8832 · (618) 315-0153
Phone(618) 249-6203
Fax(618) 249-6263
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 18, 2012
✔ NPI 1053666792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209009607
205 EAST HURON ST., Irvington, IL 62848
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christy Kelley N.p is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961655006
PECOS Enrollment IDI20130123000422
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Christy Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Medical And Occupational Services Sc
14 mi
Emergency Medicine
1104 S 42ND ST
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1679814305 (618) 315-6575

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
485 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
401 services286 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
168 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
103 services85 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
102 services102 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
97 services56 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62848 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%307 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
76%151 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christy Kelley's NPI number?

The NPI number for Christy Kelley is 1053666792. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Christy Kelley located?

Christy Kelley practices at 205 East Huron St., Irvington, IL 62848. The listed phone number is (618) 249-6203.

What is Christy Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Christy Kelley enrolled in Medicare?

Yes. Christy Kelley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Christy Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christy Kelley reassigns Medicare benefits to Midwest Medical And Occupational Services Sc (Mount Vernon, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christy Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Christy Kelley affiliated with any hospitals?

According to CMS data, Christy Kelley is affiliated with Good Samaritan Regional Hlth Center.

When was this NPI record last updated?

The NPPES record for Christy Kelley was last updated on July 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.