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Active NPI 1619400447 Individual Practitioner Female Practitioner

Kelli Ann Daugherty , CNM, APRN

Advanced Practice Midwife • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Kelli Daugherty, CNM, APRN is a certified Advanced Practice Midwife practicing in Decatur, IL. With approximately 10 years of clinical experience since completing medical education in 2016, Kelli Daugherty delivers high-quality medical care to the local community at 544 W PERSHING RD STE A.

Kelli Daugherty does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include cervical or vaginal cancer screening; pelvic and clinical breast examination, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

544 W Pershing Rd Ste A

Decatur, IL 62526

Telephone 2178722400

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Advanced Practice Midwife in Decatur, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -1.3 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Decatur, IL (500 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Daugherty (10 Years) 10 Yrs
Decatur Specialty Average (11.3 Years) 11.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination
26 26 $56.00 $38.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 18 $232.08 $126.87

Medical Specialties & State Licenses

CMS Verified: 2026-04-07
Advanced Practice Midwife Primary Specialty

NUCC Taxonomy Code: 367A00000X

State License IL 209.015343

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.

Advanced Practice Midwife

NUCC Taxonomy Code: 367A00000X

State License FL APRN11042241

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.

Secondary Practice Locations

3627 University Blvd S Ste 200

Jacksonville, FL 322164256

Phone: 9042963200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Julie Brasel , CNM

Advanced Practice Midwife

NPI 1093268583

Certified Nurse Midwife

Dr. Jeffrey Pfeiffer , MD

Obstetrics & Gynecology

NPI 1134103070

Doctor of Medicine (M.D.)

Suzanne Watts , APN

Nurse Practitioner

NPI 1467934893

Advanced Practice Nurse

Kathryn Naron , NP-C

Nurse Practitioner

NPI 1518333848

Nurse Practitioner (Certified)

Debra Campbell , MSN, CNM

Advanced Practice Midwife

NPI 1558690115

Master of Science in Nursing, Certified Nurse Midwife

Dr. Pierre Johnson , MD

Obstetrics & Gynecology - Gynecology

NPI 1659531903

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2026

Advanced Practice Midwife (License #APRN11042241 in FL)

📍
Updated Practice Location August 30, 2018

Registered at 544 W PERSHING RD STE A, DECATUR, IL 62526 (Tel: (217) 872-2400)

📍
Updated Business Mailing Address August 30, 2018

Registered at 544 W PERSHING RD STE A, DECATUR, IL 625263226 (Tel: 2178722400)

NPI Profile Active April 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2017

Registered at 703 E BOONE ST, TOLONO, IL 618809585 (Tel: 2177787001)

📍
Updated Business Mailing Address April 08, 2017

Registered at 703 E BOONE ST, TOLONO, IL 618809585

👤
Provider Name / Credentials Updated April 08, 2017

Recorded as KELLI DAUGHERTY, CNM, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2017

Advanced Practice Midwife (License #209.015343 in IL)

🟢
Initial NPI Registration & Enumeration April 08, 2017

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

NPI Number: 1619400447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2017
Last Update: April 07, 2026
Sole Proprietor: No

Mailing Address

544 W Pershing Rd Ste A

Decatur, IL 625263226

Phone: 2178722400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.