NANCY K KERTZ NP
NPI 1063424836
Nurse Practitioner - Family in Mount Vernon, IL

Active since August 12, 2006
4117 S WATER TOWER PL, SUITE D, MOUNT VERNON, IL 62864(618) 242-4848(618) 242-4198 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nancy K Kertz Np NPPES

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

NANCY K KERTZ NP (NPI 1063424836) is an individual family provider in Mount Vernon, Illinois, licensed in South Dakota (CP000435) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1063424836
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNANCY K KERTZCredential: NP
Location Address4117 S WATER TOWER PL, SUITE DMount Vernon, IL 62864-6293
Mailing Address107 Lincoln LnBrookings, SD 57006-2634 · (605) 695-5565
Fax(618) 242-4198
Sole ProprietorNo
Enumeration DateAugust 12, 2006
Last NPPES UpdateOctober 22, 2007
NPI 1063424836 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 SD · CP000435
4117 S WATER TOWER PL, Mount Vernon, IL 62864

Other Identifiers 1

Medicare PINS101644SD

Other Providers at the Same Location NPPES 9

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

Family Medicine
4117 S WATER TOWER PL, SUITE D
MOUNT VERNON, IL 62864
Family Medicine
4117 S WATER TOWER PL
MOUNT VERNON, IL 62864
Otolaryngology (Plastic Surgery within the Head & Neck)
4117 S WATER TOWER PL, SUITE C
MOUNT VERNON, IL 62864
Audiologist
4117 S WATER TOWER PL, SUITE C
MOUNT VERNON, IL 62864
Otolaryngology
4117 S WATER TOWER PL, SUITE C
MOUNT VERNON, IL 62864
Nurse Practitioner (Family)
4117 S WATER TOWER PL
MOUNT VERNON, IL 62864
Family Medicine
4117 S WATER TOWER PL, SUITE C
MOUNT VERNON, IL 62864
Family Medicine
4117 S WATER TOWER PL, SUITE D
MOUNT VERNON, IL 62864

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 Nancy Kertz's NPI number?

The NPI number for Nancy Kertz is 1063424836. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Nancy Kertz located?

Nancy Kertz practices at 4117 S Water Tower Pl Suite D, Mount Vernon, IL 62864. The listed phone number is (618) 242-4848.

What is Nancy Kertz's specialty?

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

When was this NPI record last updated?

The NPPES record for Nancy Kertz was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.