Mary K. Kiesewetter, PMHNP
Nurse Practitioner · Champaign, IL
Mary K. Kiesewetter, PMHNP is a nurse practitioner with a practice address in Champaign, Illinois, and NPI 1114563640, issued on Nov 19, 2019. Check the license (Illinois 209020494, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mary K. Kiesewetter
- Credential
- PMHNP
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License numbers
- 209020494 IL
209.020494 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1802 S Mattis Ave, Champaign, IL 61821
- Phone
- (217) 365-2855
- Enumerated
- Nov 19, 2019
- Record last updated
- Nov 21, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20200116001310); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest nurse practitioner records → All 4,892 in Illinois → Look up another NPI →
Also registered at 1802 S Mattis Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Jasmine Baines, LSWSocial Worker1629671508
- John Baker, PHDPsychologist1053643064
- David Banayan, M.D.Psychiatry Physician1366883555
Verify Mary K. Kiesewetter in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 209020494Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
17% more Medicare Part D claims than the average nurse practitioner in 2024
1,293 Medicare Part D claims for 102 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. Brand-name drugs were 5% of claims.
Most prescribed
- Trazodone Hcl96 claims
- Duloxetine Hcl87 claims
- Mirtazapine72 claims
- Clonazepam57 claims
- Lurasidone Hcl55 claims
- Aripiprazole53 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Carle Health Care IncorporatedChampaign, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mary K. Kiesewetter among 4,892 nurse practitioner records in Illinois
Mary K. Kiesewetter, PMHNP is one of 4,892 nurse practitioner records with a practice address in Illinois. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 54% of them.
- NPI issued2019 · 54% of these records are older, 39% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2019 · median 2018 among the 3,389 with a school on file
- Record last updated2019 · 36% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
56 nurse practitioner records list a practice address in Champaign
They are 56 of the 2,445 NPPES records with a practice address in Champaign, and 4,892 nurse practitioner records in Illinois.
All 4,892 in Illinois → Every provider in Champaign → Nurse Practitioner nationwide →
The 8 nurse practitioner records with the nearest ZIP codes
- Mohamad AtaChampaign, IL 618211457698169
- Theresa Hardy, A.N.P.,IBCLCChampaign, IL 618211144237389
- Bobby Hill, APN-BC RN PHRN BOFChampaign, IL 618211457891806
- Deanna Kane, NPChampaign, IL 618211881080372
- Patricia Reichard, NPChampaign, IL 618211871691550
- Kathy Smeltzer, N.P.Champaign, IL 618211386775716
- Katherine Stout, NPChampaign, IL 618211669616611
- Brittany Anderson, APNChampaign, IL 618201255895108
Common questions
What is Mary K. Kiesewetter, PMHNP's NPI number?
Mary K. Kiesewetter, PMHNP's National Provider Identifier (NPI) is 1114563640, issued on Nov 19, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Mary K. Kiesewetter, PMHNP located?
The NPPES record lists a practice address at 1802 S Mattis Ave, Champaign, IL, 61821. Phone: (217) 365-2855. Providers update this record themselves, so call before visiting.
How can I verify Mary K. Kiesewetter, PMHNP's license?
NPPES lists Illinois license number 209020494, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
How much does Mary K. Kiesewetter, PMHNP prescribe under Medicare Part D?
In 2024, Mary K. Kiesewetter, PMHNP had 1,293 Medicare Part D claims for 102 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.