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MS. KELLY COTALEEN TODD PNP
NPI 1538656145
Nurse Practitioner - Pediatrics in Walnut, IL

Active since April 18, 2018PECOS Enrolled
25340 1300 EAST ST, WALNUT, IL 61376(815) 310-6222 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 2, 2022, Nov 29, 2021, Nov 15, 2021 and 4 more (7 updates tracked since 2018).

About Ms. Kelly Cotaleen Todd Pnp NPPES

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

MS. KELLY COTALEEN TODD PNP (NPI 1538656145) is an individual pediatrics provider in Walnut, Illinois, licensed in Illinois (277001500) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1538656145
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. KELLY COTALEEN TODDCredential: PNP
Location Address25340 1300 EAST STWalnut, IL 61376-9274
Mailing Address2646 Park AveSaint Louis, MO 63104-2024 · (815) 310-6222
Phone(815) 310-6222
Sole ProprietorNo
Enumeration DateApril 18, 2018
Last NPPES UpdateAugust 2, 20227 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1538656145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in IL · 277001500✔ Licensed in MA · MCS006520B✔ Licensed in MO · 2018004205
25340 1300 EAST ST, Walnut, IL 61376
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Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Other Identifiers 1

Medicaid420071827MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelly Cotaleen Todd Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Todd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Washington University Physicians In Illinois Inc
183 mi
Diagnostic Radiology
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Illinois enrollment
  • 530 clinicians in this Medicare group
NPI 1336037076 (618) 463-7311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61376 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.

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 Todd's NPI number?

The NPI number for Kelly Todd is 1538656145. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is Kelly Todd located?

Kelly Todd practices at 25340 1300 East St, Walnut, IL 61376. The listed phone number is (815) 310-6222.

What is Kelly Todd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelly Todd enrolled in Medicare?

Yes. Kelly Todd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Todd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Todd reassigns Medicare benefits to Washington University Physicians In Illinois Inc (Alton, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Todd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Todd accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Kelly Todd 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.

When was this NPI record last updated?

The NPPES record for Kelly Todd was last updated on August 2, 2022. 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.