Katelyn Keller, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209027622 Issued in IL

Practice address

1410 E Village Pkwy
Mt Zion, IL 62549-1253

Phone

(217) 855-7447

NPI assigned

Aug 1, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Steller Wellness

  • Primary Care Clinic/Center
  • Mt Zion, IL
  • NPI 1851072359
  NPD Authorized official
• Integrated Medical Management LLC

  • Clinical Social Worker
  • Austintown, OH
  • NPI 1669152088
  NPD (past)

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1255013231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 W MOUND RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261273",
            "telephone_number": "217-620-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E VILLAGE PKWY",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491253",
            "telephone_number": "217-855-7447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 N Kickapoo St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "IL",
            "postal_code": "626561388",
            "country_code": "US",
            "telephone_number": "217-732-2149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KATELYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• International Eyecare Center Inc
• Jac Stores Inc
• Carly Morgan Johnson, R.D.
• Kevin Douglas Johnston, DC
• Brittany Keck-Flory, DMD
• Zoey Michelle Lowe
• Julia Ann Mackenzie, MS, RD, LDN
• Madeline Faith Mackin, PT, DPT
• Michelle Elizabeth Marquis, DPT
• Cassie E Mavis, MS, CCC-SLP

• Family Nurse Practitioner in Mt Zion, IL
• Providers in Mt Zion, 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 Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.