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KELCY MARIE CARLSON PMHNP-BC
NPI 1124792288
Nurse Practitioner - Psychiatric/Mental Health in Olney, IL

Active since August 03, 2021PECOS EnrolledAccepts Medicare Assignment
363 N WEST ST, OLNEY, IL 62450(618) 392-9400 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelcy Marie Carlson Pmhnp-bc NPPES

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

KELCY MARIE CARLSON PMHNP-BC (NPI 1124792288) is an individual psychiatric/mental health provider in Olney, Illinois, licensed in Illinois (209023657) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124792288
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELCY MARIE CARLSONCredential: PMHNP-BC
Location Address363 N WEST STOlney, IL 62450-1160
Mailing Address2900 Illinois Route 15Ellery, IL 62833-4409 · (618) 302-3199
Phone(618) 392-9400
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 3, 2021
NPPES CertifiedJune 28, 2021
✔ NPI 1124792288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209023657
363 N WEST ST, Olney, IL 62450
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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

Kelcy Marie Carlson Pmhnp-bc 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 ID6002212719
PECOS Enrollment IDI20210903002015
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62450 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.

Other Providers at the Same Location NPPES 13

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

MACKENZIE THOMPSON
Physician Assistant
363 N WEST ST
OLNEY, IL 62450
Richland County (618) 392-9400
KIRSTIN ANNE IGLEHART RN
Registered Nurse (Ambulatory Care)
363 N WEST ST
OLNEY, IL 62450
Richland County (618) 392-9400
MR. RYAN MATTHEW MILLSAP APRN
Nurse Practitioner (Family)
363 N WEST ST
OLNEY, IL 62450
Richland County (618) 392-9400
MACIE KOHNERT APRN
Nurse Practitioner
363 N WEST ST
OLNEY, IL 62450
Richland County (618) 392-9400
ALYSSA WEBER
Nurse Practitioner (Family)
363 N WEST ST
OLNEY, IL 62450
Richland County (618) 392-9400
TANNER M MILLER M.D.
Internal Medicine
363 N WEST ST
OLNEY, IL 62450
Richland County (618) 392-9400
PAIGE BREANNE CLAYTON MD
Family Medicine
363 N WEST ST
OLNEY, IL 62450
Richland County (618) 392-9400
BREANNA ZUBER MPH
Counselor (Mental Health)
363 N WEST ST
OLNEY, IL 62450
Richland County (618) 392-9400

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 Kelcy Carlson's NPI number?

The NPI number for Kelcy Carlson is 1124792288. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Kelcy Carlson located?

Kelcy Carlson practices at 363 N West St, Olney, IL 62450. The listed phone number is (618) 392-9400.

What is Kelcy Carlson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelcy Carlson enrolled in Medicare?

Yes. Kelcy Carlson 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.

When was this NPI record last updated?

The NPPES record for Kelcy Carlson was last updated on August 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.