Kelli Ann Daugherty, CNM, APRN - Medicare Certified Nurse Midwife (cnm) in Decatur, IL

Kelli Ann Daugherty, CNM, APRN is a medicare enrolled "Advanced Practice Midwife" in Decatur, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Osf Multi-specialty Group and her current practice location is 544 W Pershing Rd Ste A, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 872-2400.

Kelli Ann Daugherty is licensed to practice in Illinois (license number 209.015343) 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 1619400447.

Contact Information

Kelli Ann Daugherty, CNM, APRN
544 W Pershing Rd Ste A,
Decatur, IL 62526
(217) 872-2400
Not Available

Map and Direction




Provider's Profile

Full NameKelli Ann Daugherty
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience8 Years
Location544 W Pershing Rd Ste A, Decatur, 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:
  • Kelli Ann Daugherty graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1619400447
  • Provider Enumeration Date: 04/08/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082985965
  • Enrollment ID: I20170810003655

Medical Identifiers

Medical identifiers for Kelli Ann Daugherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619400447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 209.015343 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Osf Sacred Heart Medical CenterDanville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891543

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. Kelli Ann Daugherty allows following entities to bill medicare on her behalf.
Entity NameAsbery And Associates Ob Gyn Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033440722
PECOS PAC ID: 6507993136
Enrollment ID: O20100429000968
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Kelli Ann Daugherty 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
Kelli Ann Daugherty, CNM, APRN
544 W Pershing Rd Ste A,
Decatur, IL 62526-3226

Ph: (217) 872-2400
Kelli Ann Daugherty, CNM, APRN
544 W Pershing Rd Ste A,
Decatur, IL 62526

Ph: (217) 872-2400

Reviews and Comments


Advanced Practice Midwife Nurses in Decatur, IL

Julie Brasel, C.N.M.
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 544 W Pershing Rd, Decatur, IL 62526
Phone: 217-872-2400    
Jodi E Morse, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 544 W Pershing Rd Ste A, Decatur, IL 62526
Phone: 217-872-2400    Fax: 217-875-4680
Debra E Campbell, MSN, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 544 W Pershing Rd, Decatur, IL 62526
Phone: 217-872-2400    Fax: 217-875-4680
Mrs. Melissa Kay Wendell, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 675 E Snyder Dr Ste 1, Decatur, IL 62526
Phone: 217-875-1886    Fax: 217-875-3120
Mrs. Susan Cassandra Lock, CNM, APN
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 544 W Pershing Rd, Decatur, IL 62526
Phone: 217-872-2400    Fax: 217-875-4680
Kristen Lee Hufford, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 544 W Pershing Rd, Decatur, IL 62526
Phone: 217-872-2400    Fax: 217-875-4680

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.