Individual provider Active NPI

Kelsey Walker, APRN

  • Family Nurse Practitioner
  • Pontiac, IL
National Provider Identifier
1295613560
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209032782 Issued in IL
Practice address
1506 W Reynolds St
Pontiac, IL 61764-9674
Phone
(815) 844-6123
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209032782 IL Primary

Addresses

Primary practice location

1506 W Reynolds St
Pontiac, IL 61764-9674

Mailing address

206 N Coolidge St
Normal, IL 61761-2434
Phone (309) 242-7118

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
I20251023000511 IL Practitioner - Nurse Practitioner 8325536170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Illinois Medical College, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint James Hospital 74 clinicians

Practice addresses (Care Compare)

1506 W Reynolds St
Osf Healthcare Medical Group Reynolds
Pontiac, IL 61764-9674
Phone (815) 844-6123

2500 W Reynolds St
Pontiac, IL 61764-9774
Phone (815) 842-2828

Hospital & facility affiliations

  • Saint James Hospital Hospital, Pontiac, IL, CCN 140161
  • St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209032782ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital Current Accepting new patients
Saint James Hospital CurrentSince Oct 1, 2025 Accepting new patients
Saint James Hospital CurrentSince Oct 1, 2025 Accepting new patients
Saint James Hospital Past Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients

Locations

2500 W Reynolds St
Ste 203
Pontiac, IL 61764
Phone (815) 844-2001

2500 W Reynolds St
Ste 206
Pontiac, IL 61764

2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828

2500 W Reynolds St
Ste 205
Pontiac, IL 61764

1506 W Reynolds St
Pontiac, IL 61764
Phone (815) 844-6123

2500 W Reynolds St
Ste 207
Pontiac, IL 61764
Phone (815) 579-9002

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1295613560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N COOLIDGE ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612434",
            "telephone_number": "309-242-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 W REYNOLDS ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649674",
            "telephone_number": "815-844-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KELSEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209032782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, IL

Sources for this page

Verify at the official NPI Registry.