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MS. JENNIFER MICHELLE KELSEY APN
NPI 1861860058
Clinical Nurse Specialist in Peoria, IL

Active since September 04, 2015PECOS Enrolled
420 NE GLEN OAK AVENUE, SUITE 401, PEORIA, IL 61603(815) 530-4682 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Jennifer Michelle Kelsey Apn NPPES

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

MS. JENNIFER MICHELLE KELSEY APN (NPI 1861860058) is an individual clinical nurse specialist in Peoria, Illinois, licensed in Illinois (209.012384) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861860058
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameMS. JENNIFER MICHELLE KELSEYCredential: APN
Location Address420 NE GLEN OAK AVENUE, SUITE 401Peoria, IL 61603
Mailing Address420 Ne Glen Oak Avenue, Suite 401Peoria, IL 61603 · (815) 530-4682
Phone(815) 530-4682
Sole ProprietorNo
Enumeration DateSeptember 4, 2015
Last NPPES UpdateOctober 20, 2016
✔ NPI 1861860058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in IL · 209.012384
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
420 NE GLEN OAK AVENUE, SUITE 401, Peoria, IL 61603
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennifer Michelle Kelsey Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jennifer Kelsey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osf Multi-Specialty Group
7.4 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
Ottawa Regional Hospital & Healthcare Center
60 mi
General Acute Care Hospital
1100 E NORRIS DR
Ottawa, IL 61350
  • Reassigned Medicare billing, Illinois enrollment
  • 130 clinicians in this Medicare group
NPI 1306971080 (815) 433-3100
Mendota Community Hospital
64 mi
Family Medicine
1401 EAST 12TH STREET
Mendota, IL 61342
  • Reassigned Medicare billing, Illinois enrollment
  • 95 clinicians in this Medicare group
NPI 1407872997 (815) 539-7461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

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 Jennifer Kelsey's NPI number?

The NPI number for Jennifer Kelsey is 1861860058. It was assigned to this individual provider in the NPPES registry on September 4, 2015.

Where is Jennifer Kelsey located?

Jennifer Kelsey practices at 420 NE Glen Oak Avenue, Suite 401, Peoria, IL 61603. The listed phone number is (815) 530-4682.

What is Jennifer Kelsey's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Jennifer Kelsey enrolled in Medicare?

Yes. Jennifer Kelsey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Kelsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Kelsey reassigns Medicare benefits to 3 organizations: Osf Multi-Specialty Group (Peoria, IL), Ottawa Regional Hospital & Healthcare Center (Ottawa, IL) and Mendota Community Hospital (Mendota, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Kelsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Kelsey was last updated on October 20, 2016. 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.