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Active NPI 1063909299 Individual Practitioner Female Practitioner

Kelly L Perisin , FNP-C

Nurse Practitioner • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Kelly Perisin, FNP-C is a registered healthcare professional specializing in Nurse Practitioner in Peoria, IL. Practice services are available at 2426 W CORNERSTONE CT STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, influenza vaccine split virus, preservative free, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2426 W Cornerstone Ct Ste 100

Peoria, IL 616142400

Telephone 3099663137
Associated Practice Facility / Clinic
🏢 Peoria Weightloss, Llc Facility NPI 1912342569

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
182 Specialists

Practicing in Peoria, IL (4929 Statewide)

Telehealth Adoption Rate
29.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.5% 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 (2020)
Reporting Year:
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
11 11 $207.55 $90.37

Medical Specialties & State Licenses

CMS Verified: 2021-08-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209017367

(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

4 Associated Practitioners
Mariah Holloway , FNP

Nurse Practitioner

NPI 1154082907

Family Nurse Practitioner

Morgan Miller , FNP-C

Nurse Practitioner - Family

NPI 1265133821

Family Nurse Practitioner (Certified)

Julie Belser , NP-C

Nurse Practitioner - Family

NPI 1770072944

Nurse Practitioner (Certified)

Kristen Thompson

Nurse Practitioner - Family

NPI 1992263099

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 09, 2021

Registered at 2426 W CORNERSTONE CT STE 100, PEORIA, IL 616142400 (Tel: 3099663137)

📍
Updated Business Mailing Address August 09, 2021

Registered at 2608 W SESAME ST, DUNLAP, IL 615257527

📍
Updated Practice Location November 12, 2018

Registered at 1650 WASHINGTON AVE, ALTON, IL 620023931 (Tel: 3146872736)

👤
Provider Name / Credentials Updated November 12, 2018

Recorded as KELLY PERISIN, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2018

Nurse Practitioner (License #209017367 in IL)

NPI Profile Active April 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2018

Registered at 6829 PARKER RD, FLORISSANT, MO 630335308 (Tel: 3149957243)

📍
Updated Business Mailing Address April 13, 2018

Registered at 3840 OSCAR AVE, ALTON, IL 620022123

👤
Provider Name / Credentials Updated April 13, 2018

Recorded as KELLY KALKOFEN, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2018

Nurse Practitioner (License #2018012099 in MO)

🟢
Initial NPI Registration & Enumeration April 13, 2018

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: 1063909299
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2018
Last Update: August 09, 2021
Sole Proprietor: No

Mailing Address

2608 W Sesame St

Dunlap, IL 615257527

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.