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Active NPI 1306240767 Individual Practitioner Female Practitioner

Kelly J Slade , NP

Nurse Practitioner • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Kelly Slade, NP is a registered healthcare professional specializing in Nurse Practitioner in Decatur, IL. Practice services are available at 176 W MOUND RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

176 W Mound Rd

Decatur, IL 625261964

Telephone 2173918730
Fax 2173918731

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
31 Specialists

Practicing in Decatur, IL (4929 Statewide)

Telehealth Adoption Rate
9.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
13 13 $178.00 $76.33

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209.011917

(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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Jade Bollinger , APRN

Nurse Practitioner

NPI 1033072582

Advanced Practice Registered Nurse

NPI 1225527138

Doctor of Osteopathic Medicine (D.O.)

Victoria Matthews , FNP

Nurse Practitioner

NPI 1275002701

Family Nurse Practitioner

Randi Rigsby , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1750617007

NURSEPRACTITIONER

Rebecca Martin , PA-C

Physician Assistant

NPI 1841429495

Physician Assistant (Certified)

Dr. Naeemuddin Jatoi , MD

Internal Medicine

NPI 1922070333

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 01, 2019

Registered at 176 W MOUND RD, DECATUR, IL 625261964 (Tel: 2173918730)

📍
Updated Business Mailing Address November 01, 2019

Registered at 176 W MOUND RD, DECATUR, IL 625261964 (Tel: 2173918730)

👤
Provider Name / Credentials Updated November 01, 2019

Recorded as KELLY SLADE, N.P.

NPI Profile Active April 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2016

Registered at 1701 W. CURTIS, CHAMPAIGN, IL 618229678 (Tel: 2173656203)

📍
Updated Business Mailing Address April 05, 2016

Registered at 611 W. PARK ST., BWPC, URBANA, IL 618012500 (Tel: 2173836792)

👤
Provider Name / Credentials Updated April 05, 2016

Recorded as KELLY HARDING, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2016

Nurse Practitioner (License #209.011917 in IL)

🟢
Initial NPI Registration & Enumeration October 14, 2014

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: 1306240767
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2014
Last Update: November 01, 2019
Sole Proprietor: No

Mailing Address

176 W Mound Rd

Decatur, IL 625261964

Phone: 2173918730

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.