MRS. KATHLEEN LALLY N.P.
NPI 1508365842
Nurse Practitioner - Family in Normal, IL

Active since February 01, 2018PECOS EnrolledAccepts Medicare Assignment
2010 JACOBSSEN DR, NORMAL, IL 61761(309) 452-0995(309) 862-0961 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2024, Jun 13, 2018, Mar 17, 2018 (3 updates tracked since 2018).

About Mrs. Kathleen Lally N.p. NPPES

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

MRS. KATHLEEN LALLY N.P. (NPI 1508365842) is an individual family provider in Normal, Illinois, licensed in Illinois (209017197) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1508365842
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATHLEEN LALLYCredential: N.P.
Location Address2010 JACOBSSEN DRNormal, IL 61761-6280
Mailing Address2010 Jacobssen DrNormal, IL 61761-6280 · (309) 452-0995 · Fax (309) 862-0961
Fax(309) 862-0961
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 1, 2018
Last NPPES UpdateMay 14, 20243 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
NPI 1508365842 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 · 209017197
2010 JACOBSSEN DR, Normal, IL 61761

Secondary Practice Location 1

Location 12151 W White Oaks DrSpringfield, IL 62704-6495 · Phone (217) 717-4404 · Fax (217) 718-5284

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. Kathleen Lally N.p. 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 ID9739411737
PECOS Enrollment IDI20191024000095
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 8

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.

Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
133 services20 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.
110 services56 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
47 services24 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
37 services18 patients
Test to measure the level of nitric oxide gas 95012
A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.
37 services19 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
26 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
85%678 patients2/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%22 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%22 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
14%22 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
64%22 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

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 supplier12 claims12 services$83.42 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 7

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

Clinic/Center (Primary Care)
2010 JACOBSSEN DR
NORMAL, IL 61761
Specialist
2010 JACOBSSEN DR
NORMAL, IL 61761
Clinic/Center (Primary Care)
2010 JACOBSSEN DR
NORMAL, IL 61761
Clinic/Center (Research)
2010 JACOBSSEN DR
NORMAL, IL 61761
Specialist
2010 JACOBSSEN DR
NORMAL, IL 61761
Internal Medicine (Allergy & Immunology)
2010 JACOBSSEN DR
NORMAL, IL 61761
Physician Assistant
2010 JACOBSSEN DR
NORMAL, IL 61761

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508365842, enumerated as an "individual" on February 01, 2018.

The provider is located at 2010 JACOBSSEN DR NORMAL, IL 61761 and the phone number is (309) 452-0995.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.