Active NPI
Kelcie Marler, NP
- Pediatric Nurse Practitioner
- Springfield, IL
National Provider Identifier
1689393233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 209.025136
- Practice address
- 400 N 9TH St
Springfield, IL 62702-5310 - Phone
- (217) 545-8000
- Fax
- (217) 545-2303
- NPI assigned
- Aug 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 209.025136 | IL | Primary |
Addresses
Primary practice location
400 N 9TH St
Springfield, IL 62702-5310
Mailing address
PO Box 19639
Springfield, IL 62794-9639
Other practice location 1
320 E Central Ave
Decatur, IL 62521-4665
Phone (217) 877-9117
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Improvement Center | Current | Accepting new patients | |
| Community Health Improvement Center | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Community Health Improvement Center | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Community Health Improvement Center | Past | Accepting new patients |
Locations
320 E Central Ave
Decatur, IL 62521
Phone (217) 877-4694
301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003
400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498
Interoperability endpoints
- kelcie.marler.p31@direct.fhn-fqhc.nextgenshare.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Decatur, IL
- NPI 1467784090
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
-
- Federally Qualified Health Center (FQHC)
- Decatur, IL
- NPI 1164778031
-
- Federally Qualified Health Center (FQHC)
- Decatur, IL
- NPI 1831635770
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
- Federally Qualified Health Center (FQHC)
- Decatur, IL
- NPI 1194794917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1689393233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19639",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N 9TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025310",
"telephone_number": "217-545-8000",
"fax_number": "217-545-2303"
}
],
"practiceLocations": [
{
"address_1": "320 E Central Ave",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625214665",
"country_code": "US",
"telephone_number": "217-877-9117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARLER",
"first_name": "KELCIE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-25",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "209.025136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.