KATELYN M. FESSENDEN
NPI 1053851790
Nurse Practitioner - Family in Quincy, IL

Q: What is Katelyn Fessenden's NPI number?

The NPI number for Katelyn Fessenden is 1053851790. It was assigned to this individual provider in the NPPES registry on February 28, 2017. The provider is also known as Katelyn M. Kemner.

Q: What is Katelyn Fessenden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katelyn Fessenden was last updated on April 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 28, 2017PECOS EnrolledAccepts Medicare Assignment

1025 MAINE ST, QUINCY, IL 62301(217) 222-6550 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2017, Feb 28, 2017 (2 updates tracked since 2017).

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About Katelyn M. Fessenden NPPES

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

KATELYN M. FESSENDEN (NPI 1053851790) is an individual family provider in Quincy, Illinois, licensed in Illinois (209015707) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Saint Louis University School Of Medicine (2016).

NPPES Registry Identity

NPI1053851790

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATELYN M. FESSENDEN

Location Address1025 MAINE STQuincy, IL 62301-4038

Mailing Address1025 Maine StQuincy, IL 62301-4038 · (217) 222-6550

Phone(217) 222-6550

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2016

Enumeration DateFebruary 28, 2017

Last NPPES UpdateApril 21, 20172 updates tracked since enumeration

✔ NPI 1053851790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209015707

Also ListedRegistered NurseTaxonomy 163W00000X · License 041393488 (IL)

1025 MAINE ST, Quincy, IL 62301

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Other Names 1

Former Name (1)Katelyn M. Kemner

Other Identifiers 1

Medicare PINF400376460IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelyn M. Fessenden 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 ID1355627712

PECOS Enrollment IDI20170419001459

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.

Hospital Affiliations CMS Care Compare

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140015

Location1005 Broadway StQuincy, IL 62301 · Adams County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers13 claims32 services$6.20 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier16 claims16 services$7.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM J. HOLT M.D.

Orthopaedic Surgery