MRS. KELLI MARIE VAUGHN FNP-BC
NPI 1477800175
Nurse Practitioner - Family in Paxton, IL

Active since August 13, 2012PECOS EnrolledAccepts Medicare Assignment
227 N MARKET ST, PAXTON, IL 60957(217) 379-4864 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2020, Aug 11, 2020 (2 updates tracked since 2020).

About Mrs. Kelli Marie Vaughn Fnp-bc NPPES

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

MRS. KELLI MARIE VAUGHN FNP-BC (NPI 1477800175) is an individual family provider in Paxton, Illinois, licensed in Illinois (209009705) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Gibson Community Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1477800175
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLI MARIE VAUGHNCredential: FNP-BC
Location Address227 N MARKET STPaxton, IL 60957-1123
Mailing Address1120 N Melvin StGibson City, IL 60936-1477 · (217) 379-4864
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 13, 2012
Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
NPI 1477800175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209009705
227 N MARKET ST, Paxton, IL 60957

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. Kelli Marie Vaughn Fnp-bc 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 ID42460719
PECOS Enrollment IDI20121016000289
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.

Hospital Affiliations CMS Care Compare

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

Gibson Community Hospital

Critical Access Hospitals · Gibson City, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141317
Location1120 N Melvin StreetGibson City, IL 60936 · Ford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60957 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 10

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

Family Medicine
227 N MARKET ST
PAXTON, IL 60957
Nurse Practitioner (Family)
227 N MARKET ST
PAXTON, IL 60957
Nurse Practitioner (Adult Health)
227 N MARKET ST
PAXTON, IL 60957
Family Medicine
227 N MARKET ST
PAXTON, IL 60957
Family Medicine
227 N MARKET ST
PAXTON, IL 60957
Nurse Practitioner (Family)
227 N MARKET ST
PAXTON, IL 60957
Nurse Practitioner (Family)
227 N MARKET ST
PAXTON, IL 60957
Physical Therapist
227 N MARKET ST
PAXTON, IL 60957

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 Kelli Vaughn's NPI number?

The NPI number for Kelli Vaughn is 1477800175. It was assigned to this individual provider in the NPPES registry on August 13, 2012.

Where is Kelli Vaughn located?

Kelli Vaughn practices at 227 N Market St, Paxton, IL 60957. The listed phone number is (217) 379-4864.

What is Kelli Vaughn's specialty?

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

Is Kelli Vaughn enrolled in Medicare?

Yes. Kelli Vaughn 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 Kelli Vaughn affiliated with any hospitals?

According to CMS data, Kelli Vaughn is affiliated with Gibson Community Hospital.

When was this NPI record last updated?

The NPPES record for Kelli Vaughn was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.