Sarah Kelley, in Peoria, IL - Medicare Nurse Practitioner

Sarah Kelley, is a medicare enrolled "Nurse Practitioner" in Peoria, Illinois. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Alaska Regional Health Consortium and her current practice location is 221 Ne Glen Oak Ave, Emergency Dept, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 999-1091.

Sarah Kelley is licensed to practice in Illinois (license number 209.010398) 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 1700214749.

Contact Information

	Sarah Kelley,
	221 Ne Glen Oak Ave, Emergency Dept, Peoria, IL 61636-0001
	(309) 999-1091
	(309) 999-1094

Map and Direction

Provider's Profile

Full Name	Sarah Kelley
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	221 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sarah Kelley graduated from nursing school in 2012

NPI Data:

NPI Number: 1700214749
Provider Enumeration Date: 10/30/2013
Last Update Date: 12/23/2013

Medicare PECOS Information:

PECOS PAC ID: 0446487920
Enrollment ID: I20220927000264

Medical Identifiers

Medical identifiers for Sarah Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700214749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209.010398 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mt Edgecumbe Hospital	Sitka, AK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeast Alaska Regional Health Consortium	1456265362	298

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. Sarah Kelley allows following entities to bill medicare on her behalf.

Entity Name	Southeast Alaska Regional Health Consortium
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631

Entity Name	Eastern Aleutian Tribes, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649332446 PECOS PAC ID: 2860301884 Enrollment ID: O20180413000684

Entity Name	Chugachmiut
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194889287 PECOS PAC ID: 0648161141 Enrollment ID: O20250516003075

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. Sarah Kelley 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 Address	Practice Location Address
Sarah Kelley, Po Box 309, Morton, IL 61550-0309 Ph: (309) 370-1951	Sarah Kelley, 221 Ne Glen Oak Ave, Emergency Dept, Peoria, IL 61636-0001 Ph: (309) 999-1091

Reviews and Comments

Nurse Practitioner Nurses in Peoria, IL

Mr. Ryan Eugene Parnham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Suite 108, Peoria, IL 61537 Phone: 309-624-8818
Faye Yetton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2015 W Austin Dr, Peoria, IL 61614 Phone: 309-256-0632
Linda Schmidgall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603 Phone: 309-624-5100 Fax: 309-624-5569
Sandra L. Peach, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2343 Fax: 309-655-3948
Courtney Harley, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603 Phone: 309-676-8123 Fax: 309-676-8455
Roxanne Mclaughlin, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3274
Suzanne D Tietjen, BSN, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2974

Sarah Kelley, - Medicare Nurse Practitioner in Peoria, IL