Kelly M Whitaker, NP
Kelly M Whitaker, NP is a Nurse Practitioner in Mascoutah, Illinois. Qualified in 2011, 15 years ago. Practices with Advanced Practice Nursing Services Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 15
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
124 W Main StMascoutah, IL 62258-2039
Phone: (186) 402-5572
Fax: (636) 333-4510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 277.000945 (IL) |
|---|
Record details
| NPI number | 1386932028 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP |
| Sole proprietor | Yes |
| NPI enumerated | July 15, 2011 |
| Last updated in NPPES | November 19, 2024 |
| Certification date | November 18, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Advanced Practice Nursing Services Inc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |