KELLI LYNN BLAGG FNP APN
NPI 1679676738
Nurse Practitioner - Family in Mattoon, IL

Q: What is Kelli Blagg's NPI number?

The NPI number for Kelli Blagg is 1679676738. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Q: What is Kelli Blagg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelli Blagg was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 September 06, 2006

10555 EAST COUNTY ROAD 800 N, MATTOON, IL 61938(217) 235-4227(217) 235-4274 Get Directions Write a Review

NPPES record last updated: September 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelli Lynn Blagg Fnp Apn NPPES

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

KELLI LYNN BLAGG FNP APN (NPI 1679676738) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209005102) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1679676738

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLI LYNN BLAGGCredential: FNP APN

Location Address10555 EAST COUNTY ROAD 800 NMattoon, IL 61938-3574

Mailing Address509 Hamacher St 205Waterloo, IL 62298-1592 · (618) 628-0715 · Fax (888) 371-4468

Phone(217) 235-4227

Fax(217) 235-4274

Sole ProprietorNo

Enumeration DateSeptember 6, 2006

Last NPPES UpdateSeptember 18, 2015

✔ NPI 1679676738 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

License✔ Licensed in IL · 209005102

10555 EAST COUNTY ROAD 800 N, Mattoon, IL 61938

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Other Identifiers 2

Medicare PINK07236IL

OtherP00322001IL · Railroad Medicare

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 Blagg's NPI number?

The NPI number for Kelli Blagg is 1679676738. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Kelli Blagg located?

Kelli Blagg practices at 10555 East County Road 800 N, Mattoon, IL 61938. The listed phone number is (217) 235-4227.

What is Kelli Blagg'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 Blagg was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.