Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Kelly, FNP-C

Individual provider Family Nurse Practitioner · NPI 1770240897

Stephanie Kelly, FNP-C is a Nurse Practitioner in Fairview Heights, Illinois. Qualified in 2019, 7 years ago. Practices with Center for Gastrointestinal Health SC, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5023 N Illinois St
Fairview Heights, IL 62208-3453
Phone: (618) 239-0678
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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 209.020881 (IL)

Record details

NPI number1770240897
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 23, 2021
Last updated in NPPESNovember 23, 2021
Certification dateNovember 15, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Center For Gastrointestinal Health Sc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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