KELLI ANN DAUGHERTY CNM, APRN
NPI 1619400447
Advanced Practice Midwife in Decatur, IL

Q: What is Kelli Daugherty's NPI number?

The NPI number for Kelli Daugherty is 1619400447. It was assigned to this individual provider in the NPPES registry on April 8, 2017.

Q: What is Kelli Daugherty's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Daugherty was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 08, 2017PECOS Enrolled

544 W PERSHING RD STE A, DECATUR, IL 62526(217) 872-2400 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2026, Jul 21, 2022, Aug 30, 2018 (3 updates tracked since 2018).

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About Kelli Ann Daugherty Cnm, Aprn NPPES

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

KELLI ANN DAUGHERTY CNM, APRN (NPI 1619400447) is an individual advanced practice midwife in Decatur, Illinois, licensed in Illinois (209.015343) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619400447

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameKELLI ANN DAUGHERTYCredential: CNM, APRN

Location Address544 W PERSHING RD STE ADecatur, IL 62526

Mailing Address544 W Pershing Rd Ste ADecatur, IL 62526-3226 · (217) 872-2400

Phone(217) 872-2400

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 8, 2017

Last NPPES UpdateApril 7, 20263 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1619400447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

Licenses✔ Licensed in IL · 209.015343✔ Licensed in FL · APRN11042241

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

544 W PERSHING RD STE A, Decatur, IL 62526

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Secondary Practice Location 1

Location 13627 University Blvd S Ste 200Jacksonville, FL 32216-4256 · Phone (904) 296-3200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare, Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Ann Daugherty Cnm, Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082985965

PECOS Enrollment IDI20260417000330

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 Reassignments

Medicare enrollment records show Kelli Daugherty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Asbery And Associates Ob Gyn LLC

108 mi

Obstetrics & Gynecology

8 CUSUMANO PROFESSIONAL PLAZA DR
Mount Vernon, IL 62864

Reassigned Medicare billing, Illinois enrollment
15 clinicians in this Medicare group

NPI 1033440722 (618) 244-4800

Diana Health Fl P.A.

663 mi

Obstetrics & Gynecology

1046 MAR WALT DR, SUITE 200
Fort Walton Beach, FL 32547

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Diana Health Fl, PA
98 clinicians in this Medicare group

NPI 1194591966 (850) 243-2229

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 62526 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

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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 Kelli Daugherty's NPI number?

The NPI number for Kelli Daugherty is 1619400447. It was assigned to this individual provider in the NPPES registry on April 8, 2017.

Where is Kelli Daugherty located?

Kelli Daugherty practices at 544 W Pershing Rd Ste A, Decatur, IL 62526. The listed phone number is (217) 872-2400.

What is Kelli Daugherty's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Kelli Daugherty enrolled in Medicare?

Yes. Kelli Daugherty is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelli Daugherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Daugherty reassigns Medicare benefits to 2 organizations: Asbery And Associates Ob Gyn LLC (Mount Vernon, IL) and Diana Health Fl P.A. (Fort Walton Beach, FL). Each 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 Kelli Daugherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Daugherty accept?

Health plans from UnitedHealthcare and Wellpoint list Kelli Daugherty 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 Kelli Daugherty was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.