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

Kali Jo Moe, FNP-C

Individual provider Family Nurse Practitioner · NPI 1790238160

Kali Jo Moe, FNP-C is a Nurse Practitioner in Carbondale, Illinois. Qualified in 2016, 10 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and New York.

Years since qualifying
10
Licensed in
IL, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1237 E Main St
Carbondale, IL 62901-3148
Phone: (618) 457-2281
Fax: (618) 351-5625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 Lincoln Dr, Herrin, IL 62948-6334 — (618) 997-6800

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209021379 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 340962 (NY)

Record details

NPI number1790238160
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 2, 2016
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

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 Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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