Kylie Ervin, RN in Pekin, IL - Medicare Nurse Practitioner

Kylie Ervin, RN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Pekin, Illinois. Her current practice location is 6 Marion Pt, Pekin, Illinois. You can reach out to her office (for appointments etc.) via phone at (907) 980-2512.

Kylie Ervin is licensed to practice in Illinois (license number 209028165) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972250660.

Contact Information

	Kylie Ervin, RN
	6 Marion Pt, Pekin, IL 61554-9416
	(907) 980-2512
	Not Available

Map and Direction

Provider's Profile

Full Name	Kylie Ervin
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	6 Marion Pt, Pekin, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972250660
Provider Enumeration Date: 03/03/2022
Last Update Date: 09/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3577918317
Enrollment ID: I20231013000884

Medical Identifiers

Medical identifiers for Kylie Ervin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972250660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WF0300X	Registered Nurse - Flight	041367713 (Illinois)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	209028165 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kylie Ervin allows following entities to bill medicare on her behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kylie Ervin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kylie Ervin, RN 6 Marion Pt, Pekin, IL 61554-9416 Ph: (907) 980-2512	Kylie Ervin, RN 6 Marion Pt, Pekin, IL 61554-9416 Ph: (907) 980-2512

Reviews and Comments

Nurse Practitioner Nurses in Pekin, IL

Emily Crebo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Park Ave, Pekin, IL 61554 Phone: 309-346-7776
Kayla Ferman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3591 Griffin Ave, Pekin, IL 61554 Phone: 309-353-1822
Madeline Jo Gresham, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19 Olt Ave, Pekin, IL 61554 Phone: 309-680-7600 Fax: 309-353-3334
Jami Michelle Wallace, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3591 Griffin Ave, Pekin, IL 61554 Phone: 309-353-6301
Shauna L Bivens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Griffin Ave., Pekin, IL 61554 Phone: 309-347-4277 Fax: 309-347-4388
Theresa Abbadusky, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Broadway St, Pekin, IL 61554 Phone: 309-346-3416
Bridget Lynn Welker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Broadway St, Pekin, IL 61554 Phone: 309-346-3416

Kylie Ervin, RN - Medicare Nurse Practitioner in Pekin, IL