AMBER MARIE KELLERMAN NURSE PRACTITIONER
NPI 1689292997
Nurse Practitioner - Family in Pinckneyville, IL

Q: What is Amber Kellerman's NPI number?

The NPI number for Amber Kellerman is 1689292997. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Q: What is Amber Kellerman'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 Amber Kellerman was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 13, 2020PECOS EnrolledAccepts Medicare Assignment

5383 STATE ROUTE 154, PINCKNEYVILLE, IL 62274(618) 357-2187 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2023, Dec 30, 2020, Jul 13, 2020 (3 updates tracked since 2020).

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About Amber Marie Kellerman Nurse Practitioner NPPES

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

AMBER MARIE KELLERMAN NURSE PRACTITIONER (NPI 1689292997) is an individual family provider in Pinckneyville, Illinois, licensed in Illinois (209021588) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbondale, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689292997

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMBER MARIE KELLERMANCredential: NURSE PRACTITIONER

Location Address5383 STATE ROUTE 154Pinckneyville, IL 62274-3342

Mailing Address5383 State Route 154Pinckneyville, IL 62274-3342 · (618) 357-2187

Phone(618) 357-2187

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 13, 2020

Last NPPES UpdateJuly 11, 20233 updates tracked since enumeration

NPPES CertifiedJuly 11, 2023

✔ NPI 1689292997 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 · 209021588

5383 STATE ROUTE 154, Pinckneyville, IL 62274

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amber Marie Kellerman Nurse Practitioner 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 ID2264856251

PECOS Enrollment IDI20200723001409

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.

Hospital Affiliations CMS Care Compare 3

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

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Pinckneyville Community Hospital

Critical Access Hospitals · Pinckneyville, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141307

Location5383 State Route 154Pinckneyville, IL 62274 · Perry County

Emergency services

Marshall Browning Hospital

Critical Access Hospitals · Du Quoin, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141331

Location900 North Washington StreetDu Quoin, IL 62832 · Perry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62274 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$119.41 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims12 services$38.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

PINCKNEYVILLE COMMUNITY HOSPITAL

Pharmacy