Kay Sill, NP
Individual provider Active NPI Nurse Practitioner · Petersburg, IL
NPI 1659084499 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1659084499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209.025161 (IL)
- Practice address
- 71 Almond LN
Petersburg, IL 62675-9777 - Phone
- (636) 226-6368
- NPI assigned
- Dec 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240509002935 | IL | Practitioner - Nurse Practitioner | 5092156935 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.025161 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Wound Physicians of Il, S.C. | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951
7370 W Talcott Ave
Chicago, IL 60631
Phone (312) 783-3348
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Interoperability endpoints
- https://api.platform.athenahealth.com/2474/brand/3/csg/81/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209.025161 | IL | |
| Nurse Practitioner | 363L00000X | 209.025161 | IL | Yes |
Addresses
Primary practice location
71 Almond LN
Petersburg, IL 62675-9777
Mailing address
71 Almond LN
Petersburg, IL 62675-9777
Phone (636) 226-6368
Other providers in Petersburg, IL
- Emilie J Redding
- Delores J Ring
- Ashley Nichol Sanders
- Brianne Satorius
- Bree A Schmulbach
- Ashleigh Renee Smith
- Student
- Sunny Acres
- Sunny Acres
- Maoxiim Tellez
All providers in Petersburg, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.