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MRS. KELLSEY R THOLE NP
NPI 1407397862
Nurse Practitioner - Gerontology in O Fallon, IL

Active since March 17, 2017PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
THREE SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 62269(618) 233-6044(833) 973-4218 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2021, Mar 17, 2020, Sep 24, 2019 and 1 more (4 updates tracked since 2017).

About Mrs. Kellsey R Thole Np NPPES

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

MRS. KELLSEY R THOLE NP (NPI 1407397862) is an individual gerontology provider in O Fallon, Illinois, licensed in Illinois (209.015758) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1407397862
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. KELLSEY R THOLECredential: NP
Location AddressTHREE SAINT ELIZABETH BLVD STE 2800O Fallon, IL 62269-1282
Mailing AddressThree Saint Elizabeth Blvd Ste 2800O Fallon, IL 62269-1282 · (618) 233-6044 · Fax (833) 973-4218
Phone(618) 233-6044
Fax(833) 973-4218
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 17, 2017
Last NPPES UpdateDecember 20, 20214 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
✔ NPI 1407397862 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 · 209.015758
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 209.015758 (IL)
THREE SAINT ELIZABETH BLVD STE 2800, O Fallon, IL 62269
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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. Kellsey R Thole Np 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 ID4880970375
PECOS Enrollment IDI20170418001352
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 4

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.
637 services546 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
117 services83 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services17 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140137
Location200 Health Care DrGreenville, IL 62246 · Bond County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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.

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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

THOMAS B. CAHILL JR. MD
Internal Medicine (Cardiovascular Disease)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
REGINA Y CHIU M.D.
Internal Medicine (Cardiovascular Disease)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
LORI BETH HELMERS APRN
Nurse Practitioner (Adult Health)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
DR. SCOTT BENJAMIN MARRUS MD
Internal Medicine (Cardiovascular Disease)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
ATUL SHAH M.D.
Internal Medicine (Cardiovascular Disease)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
DANA M LOEPKER APN
Nurse Practitioner (Adult Health)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
VENKATESH ANJAN M.D.
Internal Medicine (Interventional Cardiology)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
DR. SHIYAM KUMAR SATWANI M.D
Internal Medicine (Interventional Cardiology)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044

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 Kellsey Thole's NPI number?

The NPI number for Kellsey Thole is 1407397862. It was assigned to this individual provider in the NPPES registry on March 17, 2017.

Where is Kellsey Thole located?

Kellsey Thole practices at Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269. The listed phone number is (618) 233-6044.

What is Kellsey Thole's specialty?

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

Is Kellsey Thole enrolled in Medicare?

Yes. Kellsey Thole 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 Kellsey Thole accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Kellsey Thole 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 Kellsey Thole affiliated with any hospitals?

According to CMS data, Kellsey Thole is affiliated with Ssm Health St Mary's Hospital -Centralia, Hshs Holy Family Hospital Inc, St Josephs Hospital, Hshs St Elizabeth's Hospital and St Joseph's Hospital.

When was this NPI record last updated?

The NPPES record for Kellsey Thole was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.