Mary K Kiesewetter

PMHNP | Nurse Practitioner | 5+ years Exp

1802 S Mattis Ave, Champaign
  Illinois, 61821-5923
217-365-2855
Accepts Medicare Nurse Anesthetist in Champaign, Illinois.
Mary K Kiesewetter is a Champaign, Illinois based nurse practitioner with 5 years of experience in . She completed her graduation in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mary K Kiesewetter is 209020494 in Illinois. Her current practice location is 1802 S Mattis Ave, Champaign. Patients can reach her at 217-365-2855. Mary K Kiesewetter is PMHNP and her NPI number (Unique professional ID assigned by NPPES) is 1114563640.
Mary K Kiesewetter has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mary K Kiesewetter speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mary K Kiesewetter
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: PMHNP
Experience: 5+ years
Medical School Attended:Other
Graduation Year:2019
Accepts Medicare Assignment:Yes
Practice Address:1802 S Mattis Ave, Champaign,
Illinois, 61821-5923
Phone:217-365-2855
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 7214362425
Enrollment ID: I20200116001310
NPI Number: 1114563640
NPI Enumeration Date: 19 Nov, 2019
NPI Last Update On: 21 Nov, 2019

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary K Kiesewetter are as mentioned below.
License NumberSpecializationStateStatus
209020494 IllinoisPrimary
209.020494Psych/Mental Health IllinoisSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(140091)Urbana, ILAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mary K Kiesewetter is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Carle Health Care Incorporated (3577515774)792
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mary K Kiesewetter
1802 S Mattis Ave,
Champaign, Illinois
Zip: 61821-5923
Phone Number: 217-365-2855
Patients can reach Mary K Kiesewetter at 1802 S Mattis Ave, Champaign, Illinois or can call to book an appointment on 217-365-2855.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.