MARY KRALL
NPI 1275626525
Nurse Practitioner in Pontiac, IL

Q: What is Mary Krall's NPI number?

The NPI number for Mary Krall is 1275626525. It was assigned to this individual provider in the NPPES registry on October 1, 2006.

Q: What is Mary Krall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Krall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 01, 2006

2500 W REYNOLDS ST, PONTIAC, IL 61764(815) 842-3633(815) 844-6309 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Krall NPPES

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

MARY KRALL (NPI 1275626525) is an individual nurse practitioner in Pontiac, Illinois, licensed in Illinois (041127668/209001388) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1275626525

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY KRALL

Location Address2500 W REYNOLDS STPontiac, IL 61764-9774

Mailing Address2500 W Reynolds StPontiac, IL 61764-9774 · (815) 842-3633 · Fax (815) 844-6309

Phone(815) 842-3633

Fax(815) 844-6309

Sole ProprietorNo

Enumeration DateOctober 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1275626525 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 · 041127668/209001388

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.

2500 W REYNOLDS ST, Pontiac, IL 61764

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Other Identifiers 7

Medicare ID-Type UnspecifiedK05745IL · Bloomington Group #

Medicare UPINS38087

Medicare ID-Type Unspecified238270IL · Pontiac Individual #

Medicare ID-Type Unspecified207991IL · Bloomington Group #

Medicare ID-Type UnspecifiedCA2182IL · Rr Group #

Medicare ID-Type UnspecifiedK35963IL · Individual #

Medicare ID-Type Unspecified833230IL · Group #

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.

EMILY RUFF

Occupational Therapist