| Kelly Andrea Martin, APRN-C | |
|
50 Northgate Industrial Dr, Granite City, IL 62040-6805 | |
| (618) 877-4420 | |
| Not Available |
| Full Name | Kelly Andrea Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 50 Northgate Industrial Dr, Granite City, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619123353 | NPI | - | NPPES |
| 041273311 | Other | IL | REGISTERED NURSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 041273311 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 377.003351 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chestnut Health Systems Inc | 1052393063 | 25 |
| Entity Name | Chestnut Health Systems, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738 |
| Entity Name | Granite City Urgent Care Walk-in Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659861953 PECOS PAC ID: 1951658285 Enrollment ID: O20180718001473 |
| Entity Name | Belleville Urgent Care Walk-in Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225694946 PECOS PAC ID: 4183050362 Enrollment ID: O20200213000608 |
| Entity Name | Waterloo Urgent Care Walk In Clinic Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508471418 PECOS PAC ID: 3971911009 Enrollment ID: O20210409000649 |
| Entity Name | Alton Urgent Care Walk In Clinic Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013521343 PECOS PAC ID: 2961810890 Enrollment ID: O20210414001646 |
| Entity Name | Wood River Urgent Care And Walk In Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427717438 PECOS PAC ID: 3173917788 Enrollment ID: O20220224002310 |
| Entity Name | Post Acute Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20240124001161 |
| Entity Name | Altea Medical Illinois Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447039227 PECOS PAC ID: 5799129730 Enrollment ID: O20240219001371 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20241001000333 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Andrea Martin, APRN-C 1632 Old Fosterburg Rd, Alton, IL 62002-8840 Ph: (618) 616-3672 | Kelly Andrea Martin, APRN-C 50 Northgate Industrial Dr, Granite City, IL 62040-6805 Ph: (618) 877-4420 |
Kierstin Hancock, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 54 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 | |
Stephanie King, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3732 Nameoki Rd, Granite City, IL 62040 Phone: 314-687-2735 | |
Dalton Alexander Halm, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 619-798-3000 | |
Diane M Schwind, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2044 Madison Ave, Suite 15, Granite City, IL 62040 Phone: 618-451-1500 | |
Dr. Jaime Ann Campbell, DNP, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-512-1919 Fax: 618-512-1920 | |
Julienne Carol Szlufik, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 | |
Robyn Wendt, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 50 Northgate Industrial Dr, Granite City, IL 62040 Phone: 618-877-4420 |