Christy A Kelley
MIDWEST MEDICAL AND OCCUPATIONAL SERVICES SC


Address: 1104 S 42nd St, Mount Vernon, IL 62864-6216
Phone: 6183156575

Christy A Kelley (NPI# 1053666792, PAC ID# 2961655006) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1053666792
PAC ID by PECOS 2961655006
Professional Enrollment ID I20130123000422
Full Name Christy A Kelley
Organization Legal Name MIDWEST MEDICAL AND OCCUPATIONAL SERVICES SC
Address 1104 S 42nd St
Mount Vernon
IL 62864-6216
Phone Number 6183156575
Gender F
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 3476794496
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140294 CROSSROADS COMMUNITY HOSPITAL
140046 SSM HEALTH - GOOD SAMARITAN HOSPITAL

Other Locations

Address Phone Organization
1104 S 42nd St, Mount Vernon, IL 62864-6216 6183156575 MIDWEST MEDICAL AND OCCUPATIONAL SERVICES SC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 90%
ACI_EC_TRANS_HIE_1 Health Information Exchange 52%
ACI_EC_TRANS_PEA_1 Provide Patient Access 27%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 94%

Organization Information

Organization Legal Name MIDWEST MEDICAL AND OCCUPATIONAL SERVICES SC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Christie Lynn Foster Emergency Medicine Midwest Medical and Occupational Services Sc 1104 S 42nd St, Mount Vernon, IL 62864-6216
Lisa K Feather Physician Assistant Midwest Medical and Occupational Services Sc 1104 S 42nd St, Mount Vernon, IL 62864-6216
Jeri L Brinkley Physician Assistant Midwest Medical and Occupational Services Sc 1104 S 42nd St, Mount Vernon, IL 62864-6216

Office Location

Street Address 1104 S 42ND ST
City MOUNT VERNON
State IL
Zip 62864-6216

Physicians in the same location

Name Specialty Organization Address
Christie Lynn Foster Emergency Medicine Midwest Medical and Occupational Services Sc 1104 S 42nd St, Mount Vernon, IL 62864-6216
Lisa K Feather Physician Assistant Midwest Medical and Occupational Services Sc 1104 S 42nd St, Mount Vernon, IL 62864-6216
Jeri L Brinkley Physician Assistant Midwest Medical and Occupational Services Sc 1104 S 42nd St, Mount Vernon, IL 62864-6216

Physicians in the same zip code

Name Specialty Organization Address
Christa S Pestka Family Medicine Christopher Greater Area Rural Health Planning Corp 2920 Veterans Pkwy, Mount Vernon, IL 62864
Jacklyn Hedger Nurse Practitioner Christopher Greater Area Rural Health Planning Corp 2920 Veterans Pkwy, Mount Vernon, IL 62864
Lydia Ann Williams Psychologist, Clinical 4230 Lincolnshire Dr E, Mount Vernon, IL 62864-2189
Linden R Pearson Family Medicine 4230 Lincolnshire Dr G, Mount Vernon, IL 62864-2189
Kevin C Wright Diagnostic Radiology Virtual Radiologic Professionals LLC 3614 Victoria Ave, Mount Vernon, IL 62864-2208
Mark C Hurst Optometry 4 Westwood Dr, Mount Vernon, IL 62864-2212
Jennifer L Craig Optometry J Bass Ltd 112 S 42nd St, Mount Vernon, IL 62864-2243
Jennifer R Bass Optometry J Bass Ltd 112 S 42nd St, Mount Vernon, IL 62864-2243
Troy W Johnson Optometry Clarkson Optometry Illinois PC 3000 Broadway St, Mount Vernon, IL 62864-2340
Erin Hocking Ayers Optometry Marion Eye Centers Ltd 2900 Broadway St A, Mount Vernon, IL 62864-2341
Find all physicians in zip 62864

Competitor

Search similar physicians

City MOUNT VERNON
Zip Code 62864
Specialty NURSE PRACTITIONER
City + Specialty MOUNT VERNON + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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