MRS. KELLY ANN ADCOCK BSN MSN APN
NPI 1386707354
Nurse Practitioner - Acute Care in Peoria, IL

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
900 MAIN ST, SUITE 320, PEORIA, IL 61602(309) 672-3140(309) 672-3145 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Ann Adcock Bsn Msn Apn NPPES

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

MRS. KELLY ANN ADCOCK BSN MSN APN (NPI 1386707354) is an individual acute care provider in Peoria, Illinois and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1386707354
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. KELLY ANN ADCOCKCredential: BSN MSN APN
Location Address900 MAIN ST, SUITE 320Peoria, IL 61602-1005
Mailing Address900 Main St, Suite 320Peoria, IL 61602-1005 · (309) 672-3140 · Fax (309) 672-3145
Fax(309) 672-3145
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1386707354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
900 MAIN ST, Peoria, IL 61602

Other Identifiers 2

Medicare UPINP36302
Medicare ID-Type UnspecifiedK08601IL

Accepted Insurance

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

Mrs. Kelly Ann Adcock Bsn Msn 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 ID446224448
PECOS Enrollment IDI20040825000322
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 5

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.
285 services219 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.
210 services193 patients
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.
87 services69 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.
68 services60 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61602 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 20

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

Psychiatry & Neurology (Psychiatry)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Social Worker (Clinical)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Psychologist (Clinical)
900 MAIN ST, SUITE 780
PEORIA, IL 61602
Physical Therapist
900 MAIN ST, STE 450
PEORIA, IL 61602
Physical Therapist
900 MAIN ST, SUITE 450
PEORIA, IL 61602
Surgery
900 MAIN ST, SUITE 310
PEORIA, IL 61602
Surgery
900 MAIN ST, SUITE 530
PEORIA, IL 61602
Internal Medicine (Gastroenterology)
900 MAIN ST, SUITE 490
PEORIA, IL 61602

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 Kelly Adcock's NPI number?

The NPI number for Kelly Adcock is 1386707354. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Kelly Adcock located?

Kelly Adcock practices at 900 Main St Suite 320, Peoria, IL 61602. The listed phone number is (309) 672-3140.

What is Kelly Adcock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kelly Adcock enrolled in Medicare?

Yes. Kelly Adcock 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.

What insurance does Kelly Adcock accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kelly Adcock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Adcock affiliated with any hospitals?

According to CMS data, Kelly Adcock is affiliated with Proctor Hospital, St Mary Medical Center, Pekin Memorial Hospital, Methodist Medical Center Of Illinois and Osf Saint Clare Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Adcock 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.