Kayla Catherine Carlile, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Peru, IL
NPI 1841643137 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1841643137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.014525 (IL)
- Practice address
- 4040 Progress Blvd
Peru, IL 61354-1124 - Phone
- (815) 664-5367
- NPI assigned
- Jul 21, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- T4 Medical PLLC
Practice addresses (Care Compare)
704 E Glover St
Ottawa, IL 61350-4131
Phone (815) 434-7144
Hospital & facility affiliations
- Osf Saint Elizabeth MDL Ctr
- Saint Anthony Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.2 of 100
- Promoting interoperability
- 92
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20231129002097 | IL | Practitioner - Nurse Practitioner | 9335597467 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.014525 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Urologic Health Surgeons SC | Current |
Accepting new patients | |
| T4 Medical PLLC | Current |
Accepting new patients | |
| Pai Participant 27, PC | Current |
Accepting new patients |
Locations
215 E 1st St
Ste 211
Dixon, IL 61021
Phone (815) 285-5843
1050 E Norris Dr
Ste 1C
Ottawa, IL 61350
Phone (815) 239-6308
704 E Glover St
Ottawa, IL 61350
Phone (815) 431-4900
920 West St
Ste 112
Peru, IL 61354
4040 Progress Blvd
Peru, IL 61354
Phone (815) 224-3040
530 Park Ave E
Ste 201
Princeton, IL 61356
Phone (815) 875-2811
600 E 1st St
Spring Valley, IL 61362
Phone (815) 664-1477
111 Spring St
Streator, IL 61364
Phone (815) 672-4587
111 Spring St
Fl 5
Streator, IL 61364
Phone (815) 673-2353
2937 N Il Route 178
Unit 5
Utica, IL 61373
Phone (815) 664-5236
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.014525 | IL | Yes |
Addresses
Primary practice location
4040 Progress Blvd
Peru, IL 61354-1124
Mailing address
4040 Progress Blvd
Peru, IL 61354-1124
Phone (815) 664-5367
Other names
- Kayla Catherine Vowels
Other providers in Peru, IL
- Steven Busch
- Alyssa Butkiewicz
- Jennifer Calhoun
- Canyon Crest Radiation Oncology PLLC
- Capstone Urology of Illinois SC
- Tricia Casford
- Lee Michael Ceresa
- Chicago Hearing LLC
- Dale R Chilson
- Catherine A Christensen
All providers in Peru, IL · Family 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 Oct 10, 2023. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.