STEPHANIE KELLY FNP-C
NPI 1770240897
Nurse Practitioner - Family in Fairview Heights, IL
About Stephanie Kelly Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE KELLY FNP-C (NPI 1770240897) is an individual family provider in Fairview Heights, Illinois, licensed in Illinois (209.020881) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Stephanie Kelly Fnp-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62208 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRVIEW HEIGHTS, IL 62208
FAIRVIEW HEIGHTS, IL 62208
FAIRVIEW HEIGHTS, IL 62208
FAIRVIEW HEIGHTS, IL 62208
FAIRVIEW HEIGHTS, IL 62208
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 Stephanie Kelly's NPI number?
The NPI number for Stephanie Kelly is 1770240897. It was assigned to this individual provider in the NPPES registry on November 23, 2021.
Where is Stephanie Kelly located?
Stephanie Kelly practices at 5023 N Illinois St, Fairview Heights, IL 62208. The listed phone number is (618) 239-0678.
What is Stephanie Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Kelly enrolled in Medicare?
Yes. Stephanie Kelly 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.
When was this NPI record last updated?
The NPPES record for Stephanie Kelly was last updated on November 23, 2021. 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.
# Stephanie Kelly, FNP-C · NPI 1770240897
Family physician in Fairview Heights, Illinois. Individual provider, active in the CMS NPPES registry since November 23, 2021.
## Identity
- **NPI:** 1770240897 (Entity type: Individual)
- **Enumerated:** November 23, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.020881 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5023 N ILLINOIS ST, Fairview Heights, IL 62208-3453
- **Phone:** (618) 239-0678
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1770240897) · Data from the CMS NPPES public registry.