Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amber Marie Kellerman, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1689292997

Amber Marie Kellerman, NURSEPRACTITIONER is a Nurse Practitioner in Pinckneyville, Illinois. Qualified in 2020, 6 years ago. Practices with Pinckneyville Community Hospital, a 28-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
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Practice location Address checks out

5383 State Route 154
Pinckneyville, IL 62274-3342
Phone: (618) 357-2187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209021588 (IL)

Record details

NPI number1689292997
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 13, 2020
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address5383 State Route 154, Pinckneyville, IL 62274-3342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pinckneyville Community Hospital — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pinckneyville