KELLY LYNN DILLARD NP
NPI 1730631029
Nurse Practitioner - Family in Washington, MO

Active since November 02, 2016PECOS EnrolledAccepts Medicare Assignment
555 WASHINGTON SQUARE SHOPPING CTR, WASHINGTON, MO 63090(636) 390-1777(636) 390-1778 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2022, Nov 2, 2016 (2 updates tracked since 2016).

About Kelly Lynn Dillard Np NPPES

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

KELLY LYNN DILLARD NP (NPI 1730631029) is an individual family provider in Washington, Missouri, licensed in Missouri (2016038175) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730631029
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY LYNN DILLARDCredential: NP
Location Address555 WASHINGTON SQUARE SHOPPING CTRWashington, MO 63090-5343
Mailing Address555 Washington Square Shopping CtrWashington, MO 63090-5343 · (636) 390-1777 · Fax (636) 390-1778
Fax(636) 390-1778
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 2, 2016
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
NPI 1730631029 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 MO · 2016038175
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2016038175 (MO)
555 WASHINGTON SQUARE SHOPPING CTR, Washington, MO 63090

Secondary Practice Locations 2

Location 11925 Burnett AveSaint Louis, MO 63125-2330 · Phone (314) 601-3857
Location 26420 Clayton RdRichmond Heights, MO 63117-1811 · Phone (314) 768-8000 · Fax (314) 768-8011

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 and accepts Medicare assignment

Kelly Lynn Dillard Np 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 ID9739461492
PECOS Enrollment IDI20170113000453
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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
46 services46 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
45 services45 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63090 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 4

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

Nurse Practitioner
555 WASHINGTON SQUARE SHOPPING CTR
WASHINGTON, MO 63090
Nurse Practitioner (Family)
555 WASHINGTON SQUARE SHOPPING CTR
WASHINGTON, MO 63090
Nurse Practitioner (Family)
555 WASHINGTON SQUARE SHOPPING CTR
WASHINGTON, MO 63090
Nurse Practitioner (Family)
555 WASHINGTON SQUARE SHOPPING CTR
WASHINGTON, MO 63090

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 Kelly Dillard's NPI number?

The NPI number for Kelly Dillard is 1730631029. It was assigned to this individual provider in the NPPES registry on November 2, 2016.

Where is Kelly Dillard located?

Kelly Dillard practices at 555 Washington Square Shopping Ctr, Washington, MO 63090. The listed phone number is (636) 390-1777.

What is Kelly Dillard's specialty?

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

Is Kelly Dillard enrolled in Medicare?

Yes. Kelly Dillard 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.

What insurance does Kelly Dillard accept?

Health plans from Medica list Kelly Dillard 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 Kelly Dillard affiliated with any hospitals?

According to CMS data, Kelly Dillard is affiliated with Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Kelly Dillard was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.