Doctor profile · Federal record
Dr. KELLY WHITAKER, NP
Adult Health Nurse Practitioner (CMS: NURSE PRACTITIONER) · MASCOUTAH, IL
- NPI 1386932028
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 15 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
124 W MAIN ST
MASCOUTAH, IL 622582039
(186) 402-5572
fax (636) 333-4510 - Mailing address
-
PO BOX 303
MASCOUTAH, IL 622580303
Credentials & registration
- NPI registered
- July 2011 — 15 yrs on file
- Profile last updated
- November 19, 2024
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 363LA2200X — NUCC code
- State license (1)
- Illinois #277.000945
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1386932028. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,940
Distinct HCPCS
10
Medicare allowed
$146,862
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
11721 |
Removal of fingernails or toenails, 6 or more nails | 1,591 | 671 | $37 | |
99308 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 235 | 91 | $63 | |
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 216 | 97 | $90 | |
99308 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 181 | 93 | $63 | |
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 169 | 101 | $90 | |
99341 |
Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 140 | 140 | $41 | |
99304 |
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 106 | 106 | $68 | |
11721 |
Removal of fingernails or toenails, 6 or more nails | 85 | 70 | $20 | |
11720 |
Removal of fingernails or toenails, 1-5 nails | 72 | 53 | $27 | |
11055 |
Removal of noncancer thickened skin growth, 1 growth | 37 | 25 | $58 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 196. This provider delivers 15× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
945
Patients
103
Total drug cost
$34,155
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Furosemide | Generic | 128 | 34 | $706 |
| Lorazepam | Generic | 122 | 16 | $1,240 |
| Tramadol Hcl | Generic | 95 | 14 | $1,017 |
| Levothyroxine Sodium | Generic | 72 | 16 | $1,125 |
| Atorvastatin Calcium | Generic | 64 | 12 | $883 |
| Metformin Hcl | Generic | 64 | 0 | $682 |
| Eliquis (Apixaban) | Brand | 56 | 0 | $17,261 |
| Potassium Chloride | Generic | 50 | 0 | $2,898 |
| Metoprolol Tartrate | Generic | 48 | 11 | $426 |
| Lisinopril | Generic | 46 | 0 | $394 |