Mary K Kiesewetter , PMHNP
Nurse Practitioner • Champaign, IL
Professional Overview & Biography Verified Profile Summary
Mary Kiesewetter, PMHNP is a certified Nurse Practitioner practicing in Champaign, IL. With approximately 7 years of clinical experience since completing medical education in 2019, Mary Kiesewetter delivers high-quality medical care to the local community at 1802 S MATTIS AVE.
Mary Kiesewetter is affiliated with Carle Health Care Incorporated and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.
Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
1802 S Mattis Ave
Champaign, IL 618215923
Medicare Profile & Education
Other
2019
✓ Accepts Assignment
Telehealth Services Available
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Champaign, IL
Practicing in Champaign, IL (4929 Statewide)
✓ Offers Virtual Consultations
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
70 | 31 | $238.07 | $74.26 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LP0808X
Definition to come...
Hospital & Practice Group Affiliations
Carle Health Care Incorporated
1802 S Mattis Ave, Champaign, IL 618215923
Phone: 2173261330
Carle Health Care Incorporated
611 W Park St, Urbana, IL 618012501
Carle Health Care Incorporated
611 W Park St, Urbana, IL 618012501
Phone: 8887122753
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychiatry & Neurology - Psychiatry
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Advanced Practice Nurse, Family Nurse Practitioner (Board Certified), Psychiatric-Mental Health Nurse Practitioner
Psychologist
Doctor of Philosophy (Ph.D.)
Social Worker - Clinical
Nurse Practitioner - Psychiatric/Mental Health
Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)
Counselor - Professional
Doctor of Philosophy (Ph.D.), Certified Rehabilitation Counselor, Licensed Clinical Professional Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1802 S MATTIS AVE, CHAMPAIGN, IL 618215923 (Tel: 2173652855)
Registered at 1802 S MATTIS AVE, CHAMPAIGN, IL 618215923 (Tel: 2173652855)
Recorded as MARY KIESEWETTER, PMHNP
Nurse Practitioner (License #209020494 in IL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
1802 S Mattis Ave
Champaign, IL 618215923
Phone: 2173652855
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.