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KERRY LYNN PITCHFORD APRN, FNP-BC
NPI 1205455763
Nurse Practitioner in Mount Vernon, IL

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
602 S 42ND ST, MOUNT VERNON, IL 62864(618) 899-3278 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Oct 21, 2020, Apr 14, 2020 (3 updates tracked since 2020).

About Kerry Lynn Pitchford Aprn, Fnp-bc NPPES

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

KERRY LYNN PITCHFORD APRN, FNP-BC (NPI 1205455763) is an individual nurse practitioner in Mount Vernon, Illinois, licensed in Illinois (209021133) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains a secondary practice location in Centralia.

NPPES Registry Identity

NPI1205455763
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKERRY LYNN PITCHFORDCredential: APRN, FNP-BC
Location Address602 S 42ND STMount Vernon, IL 62864-6264
Mailing AddressPo Box 955860Saint Louis, MO 63195-9537 · (636) 498-5944
Phone(618) 899-3278
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 14, 2020
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1205455763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209021133
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.
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 041378652 (IL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209021133 (IL)
602 S 42ND ST, Mount Vernon, IL 62864
Open in Google Maps ↗

Secondary Practice Location 1

Location 11491 Burge RdCentralia, IL 62801-9537 · Phone (618) 267-9616

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

Kerry Lynn Pitchford Aprn, Fnp-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 ID143641126
PECOS Enrollment IDI20200529000309
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 10

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 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.
265 services239 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
210 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
75 services70 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
58 services13 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
47 services39 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
44 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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 7

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

VICTORIA KOCH APRN
Nurse Practitioner
602 S 42ND ST
MOUNT VERNON, IL 62864
Jefferson County (618) 899-3278
JASON MULHOLLAND MS, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
602 S 42ND ST
MOUNT VERNON, IL 62864
Jefferson County (618) 242-1100
SUDEEP NAIR MD
Internal Medicine
602 S 42ND ST, SUITE B
MOUNT VERNON, IL 62864
Jefferson County (618) 899-3777
MRS. ASHLEY DANIELS FNP
Nurse Practitioner
602 S 42ND ST
MOUNT VERNON, IL 62864
Jefferson County (618) 899-3777
MS. TRACY HAMON P.T.
Physical Therapist
602 S 42ND ST
MOUNT VERNON, IL 62864
Jefferson County (618) 242-1100
JASON PAUL WHITE P.T.
Physical Therapist
602 S 42ND ST
MOUNT VERNON, IL 62864
Jefferson County (618) 242-1100
NICOLE MARIE LEWIS DNP, FNP-BC
Nurse Practitioner (Family)
602 S 42ND ST
MOUNT VERNON, IL 62864
Jefferson County (618) 899-3278

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 Kerry Pitchford's NPI number?

The NPI number for Kerry Pitchford is 1205455763. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Kerry Pitchford located?

Kerry Pitchford practices at 602 S 42nd St, Mount Vernon, IL 62864. The listed phone number is (618) 899-3278.

What is Kerry Pitchford's specialty?

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

Is Kerry Pitchford enrolled in Medicare?

Yes. Kerry Pitchford 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 Kerry Pitchford affiliated with any hospitals?

According to CMS data, Kerry Pitchford is affiliated with Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center and Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Kerry Pitchford was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.