Mary Kiesewetter, PMHNP
NPI 1114563640 · Nurse Practitioner · Champaign, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Kiesewetter, PMHNP is a Nurse Practitioner provider in Champaign, IL (NPI 1114563640).
Provider details
- NPI number
- 1114563640
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209020494 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
70 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 70 | $74 |
Typical Medicare-allowed amounts for these services range $74–$74 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Trazodone Hcl | 96 | 24 |
| Duloxetine Hcl | 87 | 19 |
| Mirtazapine | 72 | 17 |
| Clonazepam | 57 | — |
| Lurasidone Hcl | 55 | — |
| Aripiprazole | 53 | 11 |
| Lamotrigine | 52 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-11-19
- Last updated
- 2019-11-21
Frequently asked questions
- What is Mary Kiesewetter's NPI number?
- Mary Kiesewetter's National Provider Identifier (NPI) is 1114563640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Kiesewetter's specialty?
- Mary Kiesewetter is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Kiesewetter located?
- Mary Kiesewetter's practice location on file with NPPES is 1802 S Mattis Ave, Champaign, IL 61821-5923.
- What is Mary Kiesewetter's phone number?
- The practice phone number listed in the NPPES registry for Mary Kiesewetter is (217) 365-2855.
- Does Mary Kiesewetter accept Medicare?
- Mary Kiesewetter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Kiesewetter's NPI active?
- Yes — Mary Kiesewetter's NPI (1114563640) is active in the NPPES registry as of the last update on 2019-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.