Tracie R Kelly, APRN - Medicare Nurse Practitioner in Mendota, IL

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Tracie R Kelly, APRN is a medicare enrolled "Nurse Practitioner - Family" in Mendota, Illinois. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osf Multi-specialty Group and her current practice location is 1401 E 12th St, Mendota, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 539-7461.

Tracie R Kelly is licensed to practice in Illinois (license number 209.020815) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578197513.

Contact Information

Tracie R Kelly, APRN
1401 E 12th St,
Mendota, IL 61342-9216
(815) 539-7461
Not Available

Map and Direction




Provider's Profile

Full NameTracie R Kelly
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1401 E 12th St, Mendota, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tracie R Kelly graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1578197513
  • Provider Enumeration Date: 02/28/2020
  • Last Update Date: 02/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6103247580
  • Enrollment ID: I20200611001029

Medical Identifiers

Medical identifiers for Tracie R Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578197513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.020815 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Francis Medical CenterPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891552

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. Tracie R Kelly allows following entities to bill medicare on her behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Tracie R Kelly 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
Tracie R Kelly, APRN
110 8th St,
Mendota, IL 61342-1846

Ph: (815) 878-8847		Tracie R Kelly, APRN
1401 E 12th St,
Mendota, IL 61342-9216

Ph: (815) 539-7461

Reviews and Comments


Nurse Practitioner Nurses in Mendota, IL

Jonathan Edwards,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1405 E 12th St, Suite 600, Mendota, IL 61342
Phone: 815-538-7200    Fax: 815-539-1444
Joy Preciado,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1405 E 12th St, Ste 300, Mendota, IL 61342
Phone: 815-539-3141    
Sharon Jones Burtlow, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1201 Meriden St, Mendota, IL 61342
Phone: 815-539-3739    Fax: 815-539-3753
Susan J Olsen, APRN FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 537 N 3850th Rd, Mendota, IL 61342
Phone: 815-993-7378    
Judith A. Mcconville, APN/CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1201 Meriden St, Mendota, IL 61342
Phone: 815-539-3739    Fax: 815-539-3753
Marcela Renee Lemus, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1811 Stroble Ave, Mendota, IL 61342
Phone: 407-452-9570    

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.