Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelly Ann Tonielli Davis, DNPAPRNFNP-BC

Individual provider Family Nurse Practitioner · NPI 1225553803

Dr. Kelly Ann Tonielli Davis, DNPAPRNFNP-BC is a Nurse Practitioner in Mendota, Illinois. Qualified in 2018, 8 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2017
Specialties on file
5
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Practice location Address checks out

1201 Meriden St
Mendota, IL 61342-2501
Phone: (815) 538-1800
Fax: (815) 538-4881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 Coronado Dr, Rochelle, IL 61068-7700 — (815) 608-1746

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2016031102 (IL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 277000333 (IL)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 277000333 (IL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 277000333 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 277000333 (IL)

Record details

NPI number1225553803
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPAPRNFNP-BC
Sole proprietorYes
NPI enumeratedAugust 4, 2017
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mendota