MARY KRALL
NPI 1275626525
Nurse Practitioner in Pontiac, IL

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: July 19, 2026.

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
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

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.

Emergency Medicine
2500 W REYNOLDS ST
PONTIAC, IL 61764
Emergency Medicine
2500 W REYNOLDS ST
PONTIAC, IL 61764
Nurse Anesthetist, Certified Registered
2500 W REYNOLDS ST, ADMINISTRATION
PONTIAC, IL 61764
Family Medicine
2500 W REYNOLDS ST
PONTIAC, IL 61764
Physician Assistant
2500 W REYNOLDS ST
PONTIAC, IL 61764
Obstetrics & Gynecology
2500 W REYNOLDS ST
PONTIAC, IL 61764
Nurse Practitioner
2500 W REYNOLDS ST
PONTIAC, IL 61764
Surgery
2500 W REYNOLDS ST
PONTIAC, IL 61764

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275626525, enumerated as an "individual" on October 01, 2006.

The provider is located at 2500 W REYNOLDS ST PONTIAC, IL 61764 and the phone number is (815) 842-3633.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.