Doctor profile · Federal record
Dr. Tracie Kelly, APRN
Family Nurse Practitioner (CMS: Nurse Practitioner) · Mendota, IL
- NPI 1578197513
- Accepts Medicare
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1401 E 12Th St
Mendota, IL 613429216
(815) 539-7461 - Mailing address
-
110 8Th St
Mendota, IL 613421846
Credentials & registration
- NPI registered
- February 2020 — 6 yrs on file
- Profile last updated
- May 22, 2025
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Illinois #277.004233
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1578197513. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
350
Distinct HCPCS
8
Medicare allowed
$18,879
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 211 | 185 | $73 | |
81002 |
Urinalysis, manual test | 33 | 28 | $3 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 25 | 25 | $92 | |
87880 |
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 24 | 22 | $16 | |
94640 |
Inhalation treatment for airway obstruction or sputum production | 17 | 16 | $7 | |
J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 17 | 17 | $0 | |
69209 |
Removal of impacted ear wax by washing | 12 | 12 | $17 | |
87428 |
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 11 | 11 | $30 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 39. This provider delivers 9.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
209
Patients
205
Total drug cost
$1,853
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 69 | 68 | $139 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 57 | 55 | $385 |
| Methylprednisolone | Generic | 27 | 26 | $211 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 23 | 23 | $845 |
| Cephalexin | Generic | 17 | 17 | $109 |
| Doxycycline Hyclate | Generic | 16 | 16 | $164 |
Hospital affiliations
Frequently asked questions
What is Dr. Tracie Kelly's medical specialty?
Dr. Tracie Kelly practices Family Nurse Practitioner in Mendota, IL.
Where does Dr. Tracie Kelly practice?
Dr. Tracie Kelly practices at 1401 E 12Th St, Mendota, IL 613429216. Office phone: 8155397461.
What is Dr. Tracie Kelly's NPI?
Dr. Tracie Kelly's National Provider Identifier (NPI) is 1578197513, issued by NPPES.
Does Dr. Tracie Kelly accept Medicare assignment?
Yes. Dr. Tracie Kelly accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tracie Kelly commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Urinalysis, manual test (HCPCS 81002); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.