KELLY JEAN KALMER NP
NPI 1356700173
Nurse Practitioner - Gerontology in Breese, IL

Q: What is Kelly Kalmer's NPI number?

The NPI number for Kelly Kalmer is 1356700173. It was assigned to this individual provider in the NPPES registry on February 22, 2016.

Q: What is Kelly Kalmer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Kalmer was last updated on February 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 22, 2016PECOS Enrolled

9401 HOLY CROSS LN STE 112, BREESE, IL 62230(618) 206-2082 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 15, 2019, Feb 22, 2016 (2 updates tracked since 2016).

On this page

About Kelly Jean Kalmer Np NPPES

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

KELLY JEAN KALMER NP (NPI 1356700173) is an individual gerontology provider in Breese, Illinois, licensed in Illinois (209013852) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356700173

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKELLY JEAN KALMERCredential: NP

Location Address9401 HOLY CROSS LN STE 112Breese, IL 62230-3510

Mailing Address9401 Holy Cross Ln Ste 112Breese, IL 62230-3510 · (618) 206-2082

Phone(618) 206-2082

Sole ProprietorNo

Enumeration DateFebruary 22, 2016

Last NPPES UpdateFebruary 15, 20192 updates tracked since enumeration

✔ NPI 1356700173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IL · 209013852

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 209013852 (IL)

9401 HOLY CROSS LN STE 112, Breese, IL 62230

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Jean Kalmer Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 62230 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Leave this field empty