Individual provider Active NPI

Kerry Bramlett, ARNP

  • Adult Health Nurse Practitioner
  • Galesburg, IL
National Provider Identifier
1023462108
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
H104189 Issued in IA
Practice address
1090 W Sandburg Dr
Galesburg, IL 61401
Phone
(309) 343-0311
NPI assigned
Apr 14, 2016
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X H104189 IA Primary

Addresses

Primary practice location

1090 W Sandburg Dr
Galesburg, IL 61401

Mailing address

1351 W Central Park Ave
Davenport, IA 52804-1853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160516000432 IA Practitioner - Nurse Practitioner 9335438357 Reassigns benefits to 4 organizations
I20201005002614 IL Practitioner - Nurse Practitioner 9335438357 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abode Care Partners LTC VB, LLC CurrentSince Apr 19, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 23, 2024 Accepting new patients
SHC Medical Partners of Illinois, LLC CurrentSince Jul 25, 2023 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 16, 2024 Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 23, 2024 Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 23, 2024 Accepting new patients
SHC Medical Partners of Iowa, LLC CurrentSince Oct 4, 2023 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 16, 2024 Accepting new patients

Locations

2535 Maplecrest Rd
Ste 16
Bettendorf, IA 52722
Phone (563) 359-1943

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1345 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-4400

1351 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

9249 Northpark Dr
Johnston, IA 50131
Phone (515) 218-2143

2545 24th St
Rock Island, IL 61201
Phone (309) 788-0458

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Interoperability endpoints

  • Direct secure messaging: kerry.miller@direct.genesishealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1023462108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 W CENTRAL PARK AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 W SANDBURG DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "61401",
            "telephone_number": "309-343-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMLETT",
        "first_name": "KERRY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H104189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.