Kelcy Marie Carlson, PMHNP-BC - Medicare Nurse Practitioner in Olney, IL

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Kelcy Marie Carlson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Olney, Illinois. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Richland Memorial Hospital Inc and her current practice location is 363 N West St, Olney, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 392-9400.

Kelcy Marie Carlson is licensed to practice in Illinois (license number 209023657) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124792288.

Contact Information

Kelcy Marie Carlson, PMHNP-BC
363 N West St,
Olney, IL 62450-1160
(618) 392-9400
Not Available

Map and Direction




Provider's Profile

Full NameKelcy Marie Carlson
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location363 N West St, Olney, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelcy Marie Carlson graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1124792288
  • Provider Enumeration Date: 08/03/2021
  • Last Update Date: 08/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6002212719
  • Enrollment ID: I20210903002015

Medical Identifiers

Medical identifiers for Kelcy Marie Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124792288NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209023657 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Richland Memorial Hospital Inc387056573292

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelcy Marie Carlson allows following entities to bill medicare on her behalf.
Entity NameRichland Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467492124
PECOS PAC ID: 3870565732
Enrollment ID: O20040811000131
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelcy Marie Carlson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelcy Marie Carlson, PMHNP-BC
2900 Illinois Route 15,
Ellery, IL 62833-4409

Ph: (618) 302-3199		Kelcy Marie Carlson, PMHNP-BC
363 N West St,
Olney, IL 62450-1160

Ph: (618) 392-9400

Reviews and Comments


Nurse Practitioner Nurses in Olney, IL

Trenton Trey Titsworth, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 800 E Locust St, Olney, IL 62450
Phone: 618-395-2131    
Jessica Lynn Mccorvey, PMHNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 1200 N East St, Olney, IL 62450
Phone: 618-395-5222    Fax: 618-395-8552
Ms. Debra Lynne Waggle, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1200 N East St, Olney, IL 62450
Phone: 618-395-6243    
Mrs. Heather Nichole Curtis, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 S Whittle Ave, Olney, IL 62450
Phone: 618-392-6241    
Jamie Niemerg, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1108 N East St, Olney, IL 62450
Phone: 618-429-9470    Fax: 833-944-2035
Destiny R Dannells, NP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1200 N East St, Olney, IL 62450
Phone: 618-395-5222    Fax: 618-395-8552

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.