CARRIE H KALLAL MSN APRN
NPI 1700499274
Nurse Practitioner - Pediatrics in Jerseyville, IL
About Carrie H Kallal Msn Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARRIE H KALLAL MSN APRN (NPI 1700499274) is an individual pediatrics provider in Jerseyville, Illinois, licensed in Illinois (209021821) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carrie H Kallal Msn Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JERSEYVILLE, IL 62052
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 Carrie Kallal's NPI number?
The NPI number for Carrie Kallal is 1700499274. It was assigned to this individual provider in the NPPES registry on August 25, 2020. The provider is also known as Carrie H Purdy.
Where is Carrie Kallal located?
Carrie Kallal practices at 390 Maple Summit Rd Illini Bldg, Jerseyville, IL 62052. The listed phone number is (618) 498-2101.
What is Carrie Kallal's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Carrie Kallal enrolled in Medicare?
Yes. Carrie Kallal is registered in the Medicare PECOS enrollment system.
What insurance does Carrie Kallal accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Carrie Kallal 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 Carrie Kallal was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Carrie H Kallal, MSN APRN · NPI 1700499274
Pediatrics physician in Jerseyville, Illinois. Individual provider, active in the CMS NPPES registry since August 25, 2020.
## Identity
- **NPI:** 1700499274 (Entity type: Individual)
- **Enumerated:** August 25, 2020
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 209021821 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 390 MAPLE SUMMIT RD, ILLINI BLDG, Jerseyville, IL 62052
- **Phone:** (618) 498-2101 · **Fax:** (618) 498-8153
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700499274) · Data from the CMS NPPES public registry.