KACEY WOULFE CPNP-PC
NPI 1417805409
Nurse Practitioner - Pediatrics in Granite City, IL
About Kacey Woulfe Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KACEY WOULFE CPNP-PC (NPI 1417805409) is an individual pediatrics provider in Granite City, Illinois, licensed in Illinois (209.034987) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kacey Woulfe Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRANITE CITY, IL 62040
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 Kacey Woulfe's NPI number?
The NPI number for Kacey Woulfe is 1417805409. It was assigned to this individual provider in the NPPES registry on March 17, 2026.
Where is Kacey Woulfe located?
Kacey Woulfe practices at 2166 Madison Ave, Granite City, IL 62040. The listed phone number is (618) 452-3301.
What is Kacey Woulfe's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kacey Woulfe enrolled in Medicare?
Yes. Kacey Woulfe is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kacey Woulfe was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Kacey Woulfe, CPNP-PC · NPI 1417805409
Pediatrics physician in Granite City, Illinois. Individual provider, active in the CMS NPPES registry since March 17, 2026.
## Identity
- **NPI:** 1417805409 (Entity type: Individual)
- **Enumerated:** March 17, 2026
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 209.034987 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2166 MADISON AVE, Granite City, IL 62040-4700
- **Phone:** (618) 452-3301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417805409) · Data from the CMS NPPES public registry.