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

Dr. Kasey C Nelson, DO

Individual provider Emergency Medicine Physician · NPI 1205050416

Dr. Kasey C Nelson, DO is an Emergency Medicine in Carbondale, Illinois. Qualified in 2003, 23 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
23
Licensed in
IL, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

405 W Jackson St
Carbondale, IL 62901
Phone: (618) 549-0721
Fax: (618) 457-0469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156
  • 825 N Center Ave, Gaylord, MI 49735-1592 — (989) 731-2100
  • 825 N Center Ave, Gaylord, MI 49735-1592 — (989) 731-2100

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036147888 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 5101015756 (MI)

Record details

NPI number1205050416
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021
Mailing address1239 E Main St, Po Box 3988, Carbondale, IL 62901

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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