Active NPI
Kelsey Walker, APRN
- Family Nurse Practitioner
- Pontiac, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209032782
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- St Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209032782 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint James Hospital | Current | Accepting new patients | |
| Saint James Hospital | Current | Accepting new patients | |
| Saint James Hospital | Current | 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.
-
- Rural Health Clinic/Center
- Roanoke, IL
- NPI 1164138848
-
- Medicare Defined Swing Bed Hospital Unit
- Pontiac, IL
- NPI 1023060613
-
- Rural Health Clinic/Center
- El Paso, IL
- NPI 1154046597
-
- Rural Health Clinic/Center
- Dwight, IL
- NPI 1205551652
-
- Rural Health Clinic/Center
- Pontiac, IL
- NPI 1245955608
-
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
-
- Rural Health Clinic/Center
- Flanagan, IL
- NPI 1437874898
-
- Rural Health Clinic/Center
- Pontiac, IL
- NPI 1447976113
-
- Rural Health Clinic/Center
- Cullom, IL
- NPI 1467178814
-
- Rural Health Clinic/Center
- Clinton, IL
- NPI 1770208134
-
- Rural Health Clinic/Center
- Minonk, IL
- NPI 1801511266
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.