Kelly S Evans, FNP - Medicare Nurse Practitioner in Shiloh, IL

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Kelly S Evans, FNP is a medicare enrolled "Nurse Practitioner" in Shiloh, Illinois. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fairview Heights Medical Group Sc and her current practice location is 1414 Cross St Ste 230, Shiloh, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 607-1260.

Kelly S Evans is licensed to practice in Illinois (license number 209017964) 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 1508341181.

Contact Information

Kelly S Evans, FNP
1414 Cross St Ste 230,
Shiloh, IL 62269-2988
(618) 607-1260
Not Available

Map and Direction




Provider's Profile

Full NameKelly S Evans
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location1414 Cross St Ste 230, Shiloh, 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:
  • Kelly S Evans graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1508341181
  • Provider Enumeration Date: 09/28/2018
  • Last Update Date: 04/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688910672
  • Enrollment ID: I20190111002367

Medical Identifiers

Medical identifiers for Kelly S Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508341181NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209017964 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Anderson HospitalMaryville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Heights Medical Group Sc6800784083342

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. Kelly S Evans allows following entities to bill medicare on her behalf.
Entity NameFairview Heights Medical Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650

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. Kelly S Evans 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
Kelly S Evans, FNP
1414 Cross St Ste 230,
Shiloh, IL 62269-2988

Ph: (618) 607-1260		Kelly S Evans, FNP
1414 Cross St Ste 230,
Shiloh, IL 62269-2988

Ph: (618) 607-1260

Reviews and Comments


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Ms. Kayce Justine Bourgette, FNP
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Ki Ristia J Allen-lampe, APN
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Ms. Erica L Card, FNP
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Practice Location: 1404 Cross St, Div Surg Urology, Shiloh, IL 62269
Phone: 314-362-8200    Fax: 833-210-5713

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.