KELSI EARL APN
NPI 1376195818
Nurse Practitioner - Family in Springfield, IL

Active since July 15, 2019PECOS EnrolledAccepts Medicare Assignment
72.14/100
CMS Quality Rating
3220 ATLANTA ST, SPRINGFIELD, IL 62707(217) 588-7400(217) 588-7439 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2019, Jul 15, 2019 (2 updates tracked since 2019).

About Kelsi Earl Apn NPPES

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

KELSI EARL APN (NPI 1376195818) is an individual family provider in Springfield, Illinois, licensed in Illinois (209.019718) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376195818
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSI EARLCredential: APN
Location Address3220 ATLANTA STSpringfield, IL 62707-8801
Mailing Address3220 Atlanta StSpringfield, IL 62707-8801 · (217) 588-7400 · Fax (217) 588-7439
Fax(217) 588-7439
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 15, 2019
Last NPPES UpdateSeptember 19, 20192 updates tracked since enumeration
NPI 1376195818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.019718
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.414192 (IL)
3220 ATLANTA ST, Springfield, IL 62707

Other Identifiers 1

Other041.414192IL · Rn License

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

Kelsi Earl Apn 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 ID1052641347
PECOS Enrollment IDI20190930002403
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.
124 services90 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.
96 services82 patients

Hospital Affiliations CMS Care Compare 2

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62707 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$30.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims12 services$78.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims12 services$33.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
3220 ATLANTA ST
SPRINGFIELD, IL 62707
Family Medicine
3220 ATLANTA ST
SPRINGFIELD, IL 62707
Family Medicine
3220 ATLANTA ST
SPRINGFIELD, IL 62707
Nurse Practitioner (Family)
3220 ATLANTA ST
SPRINGFIELD, IL 62707
Nurse Practitioner (Primary Care)
3220 ATLANTA ST
SPRINGFIELD, IL 62707
Nurse Practitioner (Family)
3220 ATLANTA ST
SPRINGFIELD, IL 62707
Counselor (Professional)
3220 ATLANTA ST
SPRINGFIELD, IL 62707
Nurse Practitioner (Family)
3220 ATLANTA ST
SPRINGFIELD, IL 62707

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 Kelsi Earl's NPI number?

The NPI number for Kelsi Earl is 1376195818. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Kelsi Earl located?

Kelsi Earl practices at 3220 Atlanta St, Springfield, IL 62707. The listed phone number is (217) 588-7400.

What is Kelsi Earl's specialty?

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

Is Kelsi Earl enrolled in Medicare?

Yes. Kelsi Earl 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 Kelsi Earl affiliated with any hospitals?

According to CMS data, Kelsi Earl is affiliated with St Johns Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Kelsi Earl was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.