Mary K. Kiesewetter, PMHNP
NPI 1114563640ActiveIndividual· Nurse Practitioner· Champaign, IL
Nurse Practitioner (PMHNP) with Carle Health Care Incorporated, practicing in Champaign, Illinois. Their prescriptions cost Medicare Part D more than their services did: $221,049 for 1,293 claims, against $8,060 paid for services in 2024. Lists Carle Foundation Hospital as a hospital affiliation.
Overview
| NPI | 1114563640 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP |
| Sole proprietor | No |
| NPI issued | Nov 19, 2019 |
| Last updated in NPPES | Nov 21, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209020494 | IL |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 209.020494 | IL |
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) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 155 across 13 procedure codes |
| Paid by Medicare | $8,060 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,293 · 2,125 30-day fills |
|---|---|
| Patients | 102 |
| Total drug cost | $221,049 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Carle Health Care IncorporatedUrbana, IL · 1,666 clinicians
Hospital affiliation
- Carle Foundation HospitalUrbana, IL
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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All 56 nurse practitioners in Champaign · All nurse practitioners in Illinois