MS. KELLY EILIS LAVIN FNP
NPI 1174204044
Nurse Practitioner - Family in Saint Louis, MO

Active since July 25, 2023PECOS EnrolledAccepts Medicare Assignment
620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100, SAINT LOUIS, MO 63110(314) 747-1206(314) 222-6252 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Aug 8, 2023 and 1 more (4 updates tracked since 2023).

About Ms. Kelly Eilis Lavin Fnp NPPES

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

MS. KELLY EILIS LAVIN FNP (NPI 1174204044) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2022045232) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174204044
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KELLY EILIS LAVINCredential: FNP
Location Address620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100Saint Louis, MO 63110-1035
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 747-1206 · Fax (314) 222-6252
Fax(314) 222-6252
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 25, 2023
Last NPPES UpdateApril 17, 20254 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
NPI 1174204044 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 MO · 2022045232
620 S TAYLOR AVE, Saint Louis, MO 63110

Other Identifiers 1

Medicaid420129228MO

Accepted Insurance

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

Ms. Kelly Eilis Lavin Fnp 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 ID8325402985
PECOS Enrollment IDI20250523002094
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
122 services100 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services63 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230146
Location2333 Biddle AveWyandotte, MI 48192 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 20

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

Nurse Practitioner
620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100
SAINT LOUIS, MO 63110
Internal Medicine (Infectious Disease)
620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100
SAINT LOUIS, MO 63110
Internal Medicine (Infectious Disease)
620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100
SAINT LOUIS, MO 63110
Internal Medicine (Infectious Disease)
620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100
SAINT LOUIS, MO 63110
Internal Medicine (Infectious Disease)
620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100
SAINT LOUIS, MO 63110
Internal Medicine (Infectious Disease)
620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100
SAINT LOUIS, MO 63110
Internal Medicine (Infectious Disease)
620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100
SAINT LOUIS, MO 63110
Nurse Practitioner (Family)
620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100
SAINT LOUIS, MO 63110

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 Lavin's NPI number?

The NPI number for Kelly Lavin is 1174204044. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Kelly Lavin located?

Kelly Lavin practices at 620 S Taylor Ave Div Im Infectious Disease, Ste 100, Saint Louis, MO 63110. The listed phone number is (314) 747-1206.

What is Kelly Lavin's specialty?

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

Is Kelly Lavin enrolled in Medicare?

Yes. Kelly Lavin 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.

What insurance does Kelly Lavin accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kelly Lavin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Lavin affiliated with any hospitals?

According to CMS data, Kelly Lavin is affiliated with Henry Ford Health Hospital and Henry Ford Health Wyandotte Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Lavin was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.