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KATELYN NELSON FNP
NPI 1669154670
Nurse Practitioner - Family in Mc Leansboro, IL

Active since August 01, 2023PECOS EnrolledAccepts Medicare Assignment
206 S WASHINGTON ST, MC LEANSBORO, IL 62859(618) 643-2835(618) 643-2891 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2025, Aug 29, 2023 (2 updates tracked since 2023).

About Katelyn Nelson Fnp NPPES

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

KATELYN NELSON FNP (NPI 1669154670) is an individual family provider in Mc Leansboro, Illinois, licensed in Illinois (209.028163) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669154670
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATELYN NELSONCredential: FNP
Location Address206 S WASHINGTON STMc Leansboro, IL 62859-6708
Mailing Address206 S Washington StMc Leansboro, IL 62859-6708 · (618) 643-2835 · Fax (618) 643-2891
Phone(618) 643-2835
Fax(618) 643-2891
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 1, 2023
Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1669154670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.028163
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.436332 (IL)
206 S WASHINGTON ST, Mc Leansboro, IL 62859
Open in Google Maps ↗

Other Names 1

Former Name (1)Katelyn Mitchell

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelyn Nelson Fnp 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 ID1052766599
PECOS Enrollment IDI20231018002156
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

2

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

Ferrell Hospital Community Foundation
Same address
Rural Health
206 S WASHINGTON STREET
Mc Leansboro, IL 62859
  • Reassigned Medicare billing, Illinois enrollment
  • 74 clinicians in this Medicare group
NPI 1689217820 (618) 643-2835
Physician Services Corporation Of Southern Illinois Inc.
27 mi
Internal Medicine
4218 LINCOLNSHIRE DR
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 296 clinicians in this Medicare group
NPI 1831101807 (618) 899-3600

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

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
124 services89 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.
46 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Hamilton Memorial Hospital

Critical Access Hospitals · Mcleansboro, IL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141326
Location611 S Marshall AvenueMcleansboro, IL 62859 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62859 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.

Other Providers at the Same Location NPPES 2

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

MIKE S DAVENPORT FNP
Nurse Practitioner
206 S WASHINGTON ST
MC LEANSBORO, IL 62859
Hamilton County (618) 643-2835
DEACONESS SPECIALTY PHYSICIANS, INC
Internal Medicine (Cardiovascular Disease)
206 S WASHINGTON ST
MC LEANSBORO, IL 62859
Hamilton County (812) 450-7899

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 Katelyn Nelson's NPI number?

The NPI number for Katelyn Nelson is 1669154670. It was assigned to this individual provider in the NPPES registry on August 1, 2023. The provider is also known as Katelyn Mitchell.

Where is Katelyn Nelson located?

Katelyn Nelson practices at 206 S Washington St, Mc Leansboro, IL 62859. The listed phone number is (618) 643-2835.

What is Katelyn Nelson's specialty?

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

Is Katelyn Nelson enrolled in Medicare?

Yes. Katelyn Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katelyn Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Nelson reassigns Medicare benefits to 2 organizations: Ferrell Hospital Community Foundation (Mc Leansboro, IL) and Physician Services Corporation Of Southern Illinois Inc. (Mount Vernon, IL). 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 Katelyn Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Nelson accept?

Health plans from Ambetter Health list Katelyn Nelson 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.

Is Katelyn Nelson affiliated with any hospitals?

According to CMS data, Katelyn Nelson is affiliated with Ferrell Hospital Community Foundations and Hamilton Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Katelyn Nelson was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.