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

MS. Kacie Rae Adcock, FNP

Individual provider Family Nurse Practitioner · NPI 1134791270

MS. Kacie Rae Adcock, FNP is a Nurse Practitioner in Springfield, Illinois. Qualified in 2021, 5 years ago. Practices with Memorial Physician Services, a 158-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
5
Licensed in
IL, MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3220 Atlanta St
Springfield, IL 62707-8801
Phone: (217) 588-7400
Fax: (217) 588-7439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Childrens Pl, Saint Louis, MO 63110-1002 — (314) 454-2341

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209025855 (IL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 2021026492 (MO)

Record details

NPI number1134791270
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 16, 2021
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

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 Memorial Physician Services — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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