KELLI R BEAN APRN, FPA, FNP-C
NPI 1629734264
Nurse Practitioner - Family in Pinckneyville, IL

Active since November 09, 2021
105 S MAIN ST, PINCKNEYVILLE, IL 62274(618) 995-8073(618) 822-4019 Get Directions Write a Review

NPPES record last updated: January 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2022, Jul 11, 2022, Jul 8, 2022 and 1 more (4 updates tracked since 2021).

About Kelli R Bean Aprn, Fpa, Fnp-c NPPES

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

KELLI R BEAN APRN, FPA, FNP-C (NPI 1629734264) is an individual family provider in Pinckneyville, Illinois, licensed in Illinois (277003403) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1629734264
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLI R BEANCredential: APRN, FPA, FNP-C
Location Address105 S MAIN STPinckneyville, IL 62274-1458
Mailing AddressPo Box 7Du Quoin, IL 62832-0007 · (618) 995-8073 · Fax (618) 228-4019
Fax(618) 822-4019
Sole ProprietorYes
Enumeration DateNovember 9, 2021
Last NPPES UpdateJanuary 25, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2025
NPI 1629734264 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
Licenses Licensed in IL · 277003403 Licensed in IL · 209024317
105 S MAIN ST, Pinckneyville, IL 62274

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
105 S MAIN ST
PINCKNEYVILLE, IL 62274

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 Bean's NPI number?

The NPI number for Kelli Bean is 1629734264. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Kelli Bean located?

Kelli Bean practices at 105 S Main St, Pinckneyville, IL 62274. The listed phone number is (618) 995-8073.

What is Kelli Bean's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelli Bean was last updated on January 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.