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

Kelly Mae Guzlas

Individual provider Family Nurse Practitioner · NPI 1467858308

Kelly Mae Guzlas is a Nurse Practitioner in Champaign, Illinois. Qualified in 2014, 12 years ago. Practices with Gibson Community Hospital Association, a 159-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3101 Fields South Dr
Champaign, IL 61822-3743
Phone: (217) 366-6162
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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 209.012016 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209012016 (IL)

Record details

NPI number1467858308
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2014
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Gibson Community Hospital Association — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Champaign