Sarah Kelley, - Medicare Nurse Practitioner in Peoria, IL

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Sarah Kelley, is a medicare enrolled "Nurse Practitioner" in Peoria, Illinois. Her current practice location is 221 Ne Glen Oak Ave, Emergency Dept, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 999-1091.

Sarah Kelley is licensed to practice in Illinois (license number 209.010398) 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 1700214749.

Contact Information

Sarah Kelley,
221 Ne Glen Oak Ave, Emergency Dept,
Peoria, IL 61636-0001
(309) 999-1091
(309) 999-1094

Map and Direction




Provider's Profile

Full NameSarah Kelley
GenderFemale
SpecialityNurse Practitioner
Location221 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700214749
  • Provider Enumeration Date: 10/30/2013
  • Last Update Date: 12/23/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0446487920
  • Enrollment ID: I20131206000889

Medical Identifiers

Medical identifiers for Sarah Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700214749NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209.010398 (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. Sarah Kelley 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: 1265966048
PECOS PAC ID: 1355259714
Enrollment ID: O20170828003194
Entity NameNes Michigan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740794536
PECOS PAC ID: 2961578265
Enrollment ID: O20180125001584
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147
Entity NameEpss, Llc- Metro Series
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124782305
PECOS PAC ID: 6608266713
Enrollment ID: O20211203002440

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. Sarah Kelley 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
Sarah Kelley,
Po Box 309,
Morton, IL 61550-0309

Ph: (309) 370-1951		Sarah Kelley,
221 Ne Glen Oak Ave, Emergency Dept,
Peoria, IL 61636-0001

Ph: (309) 999-1091

Reviews and Comments


Nurse Practitioner Nurses in Peoria, IL

Mr. Ryan Eugene Parnham, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Suite 108, Peoria, IL 61537
Phone: 309-624-8818    
Faye Yetton, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2015 W Austin Dr, Peoria, IL 61614
Phone: 309-256-0632    
Linda Schmidgall,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603
Phone: 309-624-5100    Fax: 309-624-5569
Sandra L. Peach, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 Ne Glen Oak Ave, Peoria, IL 61603
Phone: 309-655-2343    Fax: 309-655-3948
Roxanne Mclaughlin, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615
Phone: 309-243-3000    Fax: 309-243-3274
Suzanne D Tietjen, BSN, NNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2974    
Brittany N Hemmele, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8600 N State Route 91, Peoria, IL 61615
Phone: 309-683-5050    Fax: 309-683-5335

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.