Kelsey Lyn Tillman, DNP, APRN, FNP-BC
NPI 1104411230ActiveIndividual· Nurse Practitioner, Family· Fulton, MO
Opted out of Medicare from April 2025 to April 2027. Nurse Practitioner, Family (DNP, APRN, FNP-BC) in Fulton, Missouri, licensed in MO, with an NPI issued in March 2021.
Overview
| NPI | 1104411230 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP, APRN, FNP-BC |
| Sole proprietor | No |
| NPI issued | Mar 1, 2021 |
| Last updated in NPPES | Mar 20, 2026 |
| Certified by provider | Mar 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2021007044 | MO |
| Registered Nurse | 163W00000X | 2015001994 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 1, 2025 – Apr 1, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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