KACI N HAVLIN
NPI 1083155311
Nurse Practitioner - Family in Jacksonville, IL
About Kaci N Havlin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KACI N HAVLIN (NPI 1083155311) is an individual family provider in Jacksonville, Illinois, licensed in Illinois (209015784) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Kaci N Havlin 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILThomas H Boyd Memorial Hospital
Critical Access Hospitals · Carrollton, ILCarlinville Area Hospital
Critical Access Hospitals · Carlinville, ILJacksonville Memorial Hospital
Critical Access Hospitals · Jacksonville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62650 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Kaci Havlin's NPI number?
The NPI number for Kaci Havlin is 1083155311. It was assigned to this individual provider in the NPPES registry on March 20, 2017. The provider is also known as Kaci N Ridder.
Where is Kaci Havlin located?
Kaci Havlin practices at 15 Founders Ln, Jacksonville, IL 62650. The listed phone number is (217) 528-7541.
What is Kaci Havlin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kaci Havlin enrolled in Medicare?
Yes. Kaci Havlin 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.
Is Kaci Havlin affiliated with any hospitals?
According to CMS data, Kaci Havlin is affiliated with Memorial Medical Center, Thomas H Boyd Memorial Hospital, Carlinville Area Hospital and Jacksonville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kaci Havlin was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kaci N Havlin · NPI 1083155311
Family physician in Jacksonville, Illinois. Individual provider, active in the CMS NPPES registry since March 20, 2017.
## Identity
- **NPI:** 1083155311 (Entity type: Individual)
- **Enumerated:** March 20, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209015784 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 15 FOUNDERS LN, Jacksonville, IL 62650-3919
- **Phone:** (217) 528-7541
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083155311) · Data from the CMS NPPES public registry.