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

Kelli Mowrer, CNP

Individual provider Nurse Practitioner · NPI 1417468190

Kelli Mowrer, CNP is a Nurse Practitioner in Mount Vernon, Illinois. Qualified in 2017, 9 years ago. Practices with Physician Services Corporation of Southern Illinois Inc, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8 Cusumano Professional Plaza Dr
Mount Vernon, IL 62864-6736
Phone: (618) 244-4800
Fax: (618) 241-1746
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 — (618) 899-4000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209016577 (IL)

Record details

NPI number1417468190
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 20, 2017
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023
Mailing address8 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864-6736

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Physician Services Corporation Of Southern Illinois Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mount Vernon