Kelly Nicole Schelich, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209025367 Issued in IL

Practice address

4122 Keaton Crossing Blvd Ste 102
O Fallon, MO 63368-8219

Phone

(636) 329-9077

NPI assigned

Aug 22, 2018

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 MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kschelich60690@direct-ehr-ssmhc.com

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.

• Mercy Hospital Perry

  • Critical Access Hospital
  • Perryville, MO
  • NPI 1063117158
  Medicare reassignment NPD
• SSM Health Care St Louis

  • Emergency Medicine Physician
  • Fenton, MO
  • NPI 1275586174
  Medicare reassignment NPD
• Washington County Memorial Hospital

  • Critical Access Hospital
  • Potosi, MO
  • NPI 1194838821
  Medicare reassignment NPD
• Elpis Pain Management Center LLC

  • Pain Medicine Physician
  • O Fallon, MO
  • NPI 1841544251
  NPD
• Mercy Hospital Perry

  • Rural Health Clinic/Center
  • Perryville, MO
  • NPI 1639858855
  NPD
• SSM Health Care St. Louis

  • Cardiovascular Disease Physician
  • Bridgeton, MO
  • NPI 1376598599
  NPD
• Washington County Memorial Hospital

  • Rural Health Clinic/Center
  • Belgrade, MO
  • NPI 1871102137
  NPD
• Mercy Hospital Perry

  • Rural Health Clinic/Center
  • Perryville, MO
  • NPI 1215613880
  NPD (past)
• Washington County Memorial Hospital

  • Rural Health Clinic/Center
  • Potosi, MO
  • NPI 1467424788
  NPD (past)
• Deaconess Illinois Clinic, Inc

  • Family Medicine Physician
  • Mount Vernon, IL
  • NPI 1245956523
  NPD (past)

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1427539030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 SW 3RD ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640814006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 KEATON CROSSING BLVD STE 102",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688219",
            "telephone_number": "636-329-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELICH",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018025391",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209025367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma M Schafers-Karl, O.D.
• Chelsea Schaffer, LCSW
• Jennifer Schallert, NP
• Sandra K Scharf, N.P.
• Benjamin L. Schaub, PT, DPT
• Robert Scherbring, R.PH.
• Jason Michael Schlautman, M.D.
• Joseph Schmid, DPT
• Michelle Schmidt, DPT
• Amy Kathryn Schneider, MS, LPC

• Nurse Practitioner in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.