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

Nathan Eugene Kellenberger, APRN-C

Individual provider Family Nurse Practitioner · NPI 1720798341

Nathan Eugene Kellenberger, APRN-C is a Nurse Practitioner in Peoria, Illinois. Qualified in 2022, 4 years ago. Practices with Saint James Hospital, a 74-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5114 N Glen Park Place Rd
Peoria, IL 61614-4686
Phone: (309) 655-2431
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.026515 (IL)

Record details

NPI number1720798341
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-C
Sole proprietorNo
NPI enumeratedDecember 5, 2022
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022
Mailing address5114 N Glen Park Place Rd, Peoria, IL 61614-4686

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Saint James Hospital — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Peoria