Mrs Kelly Ann Adcock, BSN MSN APN - Medicare Nurse Practitioner in Peoria, IL

Mrs Kelly Ann Adcock, BSN MSN APN is a medicare enrolled "Nurse Practitioner - Acute Care" in Peoria, Illinois. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Methodist Medical Center Of Illinois and her current practice location is 900 Main St, Suite 320, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 672-3140.

Mrs Kelly Ann Adcock is licensed to practice in Illinois (license number ) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1386707354.

Contact Information

Mrs Kelly Ann Adcock, BSN MSN APN
900 Main St, Suite 320,
Peoria, IL 61602-1005
(309) 672-3140
(309) 672-3145

Map and Direction




Provider's Profile

Full NameMrs Kelly Ann Adcock
GenderFemale
SpecialityNurse Practitioner
Experience24 Years
Location900 Main St, Peoria, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kelly Ann Adcock graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1386707354
  • Provider Enumeration Date: 12/19/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0446224448
  • Enrollment ID: I20040825000322

Medical Identifiers

Medical identifiers for Mrs Kelly Ann Adcock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386707354NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Medical Center Of IllinoisPeoria, ILHospital
St Mary Medical CenterGalesburg, ILHospital
Perry Memorial HospitalPrinceton, ILHospital
Proctor HospitalPeoria, ILHospital
Osf Holy Family Medical CenterMonmouth, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Methodist Medical Center Of Illinois1355259714246

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. Mrs Kelly Ann Adcock allows following entities to bill medicare on her behalf.
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982656575
PECOS PAC ID: 1355259714
Enrollment ID: O20031126000494
Entity NameProctor Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134173917
PECOS PAC ID: 3476440173
Enrollment ID: O20040227000906
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184670663
PECOS PAC ID: 1355259714
Enrollment ID: O20040315000196

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. Mrs Kelly Ann Adcock 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 AddressPractice Location Address
Mrs Kelly Ann Adcock, BSN MSN APN
900 Main St, Suite 320,
Peoria, IL 61602-1005

Ph: (309) 672-3140
Mrs Kelly Ann Adcock, BSN MSN APN
900 Main St, Suite 320,
Peoria, IL 61602-1005

Ph: (309) 672-3140

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.