Kelly S Eyer, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.01201 Issued in IL

Practice address

117 E Market St
Olney, IL 62450-2241

Phone

(618) 392-1301

Fax

(618) 392-1302

NPI assigned

Nov 21, 2014

Last updated

Dec 8, 2014By 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 2

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• LHC-Illinois Home Health Care Home health agency, Marion, IL, CCN 147716
• Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
• Carle Richland Memorial Hospital Hospital, Olney, IL, CCN 141355

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10239/brand/1/csg/1/fhir/r4
• Direct secure messaging: kelly.eyer.1@10239.direct.athenahealth.com

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.

• Market Street Medical, LLC

  • Clinic/Center
  • Olney, IL
  • NPI 1831596733
  Medicare reassignment NPD Authorized official

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

• LHCG Xxxvii, LLC

  dba LHC-Illinois Home Health Care

  • Home Health Agency
  • Marion, IL
  • NPI 1740527407
  Care Compare affiliation
• Richland Memorial Hospital, Inc

  dba Carle Richland Memorial Hospital

  • Critical Access Hospital
  • Olney, IL
  • NPI 1467492124
  Care Compare affiliation
• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Care Compare affiliation

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1033516935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E MARKET ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502241",
            "telephone_number": "618-392-1301",
            "fax_number": "618-392-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E MARKET ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502241",
            "telephone_number": "618-392-1301",
            "fax_number": "618-392-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYER",
        "first_name": "KELLY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.01201",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.378591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Eagleson, BA
• East Fork Emergency Physicians LLC
• East Richland CSD 1
• Robert G Einhorn, MD
• Emerald Glen of Olney
• Thomas Falcone, CRNA
• Shay N Farris, PTA
• Yekaterina Fayn, MD
• Feddes Chiropractic LTD (Gottfried Chiropractic Clinic)
• Tara Feddes, D.C.

• Family Nurse Practitioner in Olney, IL
• Providers in Olney, 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 Dec 8, 2014; 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.