Provider Profile

Mary K. Kiesewetter, PMHNP

Unclaimed Profile

About Mary Kiesewetter

Mary K. Kiesewetter, PMHNP is a nurse practitioner based in Champaign, IL. Mary is also listed as specializing in nurse practitioner — psychiatric/mental health. According to Medicare claims data, Mary cared for 31 Medicare patients across 70 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

School Other Graduated: 2019

Specialty

Nurse Practitioner (Primary)
Nurse Practitioner — Psychiatric/Mental Health (Additional)

Credentials & Licensing

IL license209020494
IL license209.020494
NPI1114563640
NPI issued11/19/2019

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Mary K. Kiesewetter specialize in?

Mary K. Kiesewetter is a nurse practitioner in Champaign, IL. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Mary K. Kiesewetter located?

Mary K. Kiesewetter is listed at 1802 S Mattis Ave, Champaign, IL 61821. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Mary K. Kiesewetter's phone number?

The number on file is (217) 365-2855. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Mary K. Kiesewetter's NPI number?

Mary K. Kiesewetter's National Provider Identifier is 1114563640. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Mary K. Kiesewetter train?

Mary K. Kiesewetter attended Other, graduating in 2019. This comes from the CMS National Downloadable File.

CMS public data

How long has Mary K. Kiesewetter been practicing?

Mary K. Kiesewetter has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.

CMS public data

What does Mary K. Kiesewetter do most often?

According to Medicare billing data, Mary K. Kiesewetter the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Mary K. Kiesewetter confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Mary K. Kiesewetter. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.