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

Q: 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.

Q: What is Kelly Todd's specialty?

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

Q: 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.

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: August 16, 2026.

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

On this page

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.

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

Open in Google Maps ↗

Other Identifiers 1

Medicaid420071827MO

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Kelly Todd accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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.