Individual provider Active NPI

Kelsey Reding, FNP/PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Highland, IL
National Provider Identifier
1194120766
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277.002817 Issued in IL
Practice address
2568 Becker Rd
Highland, IL 62249-3038
Phone
(618) 920-7094
NPI assigned
Oct 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.002817 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.002817 IL Primary

Addresses

Primary practice location

2568 Becker Rd
Highland, IL 62249-3038

Mailing address

2568 Becker Rd
Highland, IL 62249-3038
Phone (618) 920-7094

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160921000209 IL Practitioner - Nurse Practitioner 9234426149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Center for Women'S Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

Practice addresses (Care Compare)

9447 Holy Cross LN
Breese, IL 62230-3510
Phone (618) 526-2209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277.002817ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Wellness LLC CurrentSince Nov 19, 2023 Accepting new patients
Midwest Center for Women'S Health Care, LTD. CurrentSince Jan 21, 2025 Accepting new patients
Highland Pediatrics & Adolescent Medicine PastSince May 31, 2020 Accepting new patients

Locations

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

9447 Holy Cross Ln
Breese, IL 62230
Phone (618) 526-2209

100 Woodcrest Dr
Highland, IL 62249
Phone (618) 526-2209

110 Woodcrest Dr
Highland, IL 62249
Phone (618) 651-0535

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

Interoperability endpoints

  • Direct secure messaging: kelsey.reding.p30@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1194120766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 BECKER RD",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622493038",
            "telephone_number": "618-920-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568 BECKER RD",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622493038",
            "telephone_number": "618-920-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDING",
        "first_name": "KELSEY",
        "credential": "FNP/PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-25",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.002817",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.002817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

Verify at the official NPI Registry.