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

Kelcy Marie Carlson, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124792288

Kelcy Marie Carlson, PMHNP-BC is a Nurse Practitioner in Olney, Illinois. Qualified in 2021, 5 years ago. Practices with Richland Memorial Hospital Inc, a 104-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

363 N West St
Olney, IL 62450-1160
Phone: (618) 392-9400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209023657 (IL)

Record details

NPI number1124792288
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedAugust 3, 2021
Last updated in NPPESAugust 3, 2021
Certification dateJune 28, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Richland Memorial Hospital Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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