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KELLY L PERISIN FNP-C
NPI 1063909299
Nurse Practitioner in Peoria, IL

Active since April 13, 2018
2426 W CORNERSTONE CT STE 100, PEORIA, IL 61614(309) 966-3137 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2021, Nov 12, 2018, Nov 9, 2018 and 2 more (5 updates tracked since 2018).

About Kelly L Perisin Fnp-c NPPES

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

KELLY L PERISIN FNP-C (NPI 1063909299) is an individual nurse practitioner in Peoria, Illinois, licensed in Illinois (209017367) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1063909299
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY L PERISINCredential: FNP-C
Location Address2426 W CORNERSTONE CT STE 100Peoria, IL 61614-2400
Mailing Address2608 W Sesame StDunlap, IL 61525-7527
Phone(309) 966-3137
Sole ProprietorNo
Enumeration DateApril 13, 2018
Last NPPES UpdateAugust 9, 20215 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
✔ NPI 1063909299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209017367
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2426 W CORNERSTONE CT STE 100, Peoria, IL 61614
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Other Names 1

Former Name (1)Kelly L Kalkofen

Other Providers at the Same Location NPPES 6

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

MARIAH HOLLOWAY FNP
Nurse Practitioner
2426 W CORNERSTONE CT STE 100
PEORIA, IL 61614
Peoria County (309) 966-3137
MRS. MORGAN ANNE-MARIE MILLER FNP-C
Nurse Practitioner (Family)
2426 W CORNERSTONE CT STE 100
PEORIA, IL 61614
Peoria County (309) 966-3137
CENTRAL ILLINOIS PREVENTIVE SERVICES LLC
Family Medicine
2426 W CORNERSTONE CT STE 100
PEORIA, IL 61614
Peoria County (309) 966-3137
JULIE BELSER NP-C
Nurse Practitioner (Family)
2426 W CORNERSTONE CT STE 100
PEORIA, IL 61614
Peoria County (309) 966-3137
PEORIA WEIGHTLOSS, LLC
Clinic/Center (Medical Specialty)
2426 W CORNERSTONE CT STE 100
PEORIA, IL 61614
Peoria County (309) 966-3137
KRISTEN THOMPSON
Nurse Practitioner (Family)
2426 W CORNERSTONE CT STE 100
PEORIA, IL 61614
Peoria County (309) 966-3137

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 Kelly Perisin's NPI number?

The NPI number for Kelly Perisin is 1063909299. It was assigned to this individual provider in the NPPES registry on April 13, 2018. The provider is also known as Kelly L Kalkofen.

Where is Kelly Perisin located?

Kelly Perisin practices at 2426 W Cornerstone Ct Ste 100, Peoria, IL 61614. The listed phone number is (309) 966-3137.

What is Kelly Perisin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kelly Perisin was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.