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

Kaci N Havlin

Individual provider Family Nurse Practitioner · NPI 1083155311

Kaci N Havlin is a Nurse Practitioner in Jacksonville, Illinois. Qualified in 2016, 10 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2017
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Practice location Address checks out

15 Founders Ln
Jacksonville, IL 62650-3919
Phone: (217) 528-7541
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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 209015784 (IL)

Record details

NPI number1083155311
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2017
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022
Mailing addressPo Box 19248, Springfield, IL 62794-9248

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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