Kelsey Beasley

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209016345 Issued in IL

Practice address

3060 Harvest Meadow Dr
Belleville, IL 62221-7044

Phone

(618) 792-8887

NPI assigned

Sep 22, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cancer Care Specialists of Central Illinois SCGroup PAC ID 5991619116, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's Hospital Hospital, Highland, IL, CCN 141336
• St Josephs Hospital Hospital, Breese, IL, CCN 140145
• HSHS St Elizabeth's Hospital Hospital, O Fallon, IL, CCN 140187
• HSHS Holy Family Hospital Inc Hospital, Greenville, IL, CCN 140137

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/64706c27-8401-4242-8ca4-f0b7c493efc2/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cancer Care Specialists of Central Illinois, S.C.

  • Medical Oncology Physician
  • Decatur, IL
  • NPI 1871580142
  Medicare reassignment Care Compare group NPD
• Cancer Care Specialists of Central Illinois, S.C

  dba Cancer Care Specialists of Illinois

  • Community/Retail Pharmacy
  • Decatur, IL
  • NPI 1356874093
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HSHS Holy Family Hospital Inc

  • General Acute Care Hospital
  • Greenville, IL
  • NPI 1205850690
  Care Compare affiliation
• St Elizabeths Hospital of the Hospital Sisters of the Third Order

  dba HSHS St. Elizabeth's Hospital

  • General Acute Care Hospital
  • O'Fallon, IL
  • NPI 1629057302
  Care Compare affiliation
• St Josephs Hospital Breese of the Hospital Sisters of the Third Orde

  dba Clinton County Rural Health

  • Rural Health Clinic/Center
  • Breese, IL
  • NPI 1013002658

  Hospital

  Care Compare affiliation
• St Josephs Hospital Breese of the Hospital Sisters of the Third Orde

  dba St. Joseph's Hospital

  • General Acute Care Hospital
  • Breese, IL
  • NPI 1457319154
  Care Compare affiliation
• St Josephs Hospital of the Hospital Sisters of the Third Order of St F

  dba HSHS St. Joseph's Hospital -Highland

  • Critical Access Hospital
  • Highland, IL
  • NPI 1447352323
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003325952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 HARVEST MEADOW DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217044",
            "telephone_number": "618-792-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 HARVEST MEADOW DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217044",
            "telephone_number": "618-792-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meaghan Elisabeth Baumgardner, AGNP
• Stacy Davis Baur, NP
• Matthew Michael Bayes
• Lauren E Beach, MPT
• Charity Sade Bean, DOULA
• Paul Douglas Becherer, O.D.
• Richard D Becherer, CRNA
• Joyce Marie Becker, P.T.A. AND CRTT
• Marcia Ann Becker, CRNA
• Lakshmi R. Beeravolu, MD

• Family Nurse Practitioner in Belleville, IL
• Providers in Belleville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.