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Kelly Desmarais, APRN
NPI 1417830803 · Nurse Practitioner · Peoria, IL
Kelly Desmarais, APRN is a Nurse Practitioner provider in Peoria, IL (NPI 1417830803).
Provider details
- NPI number
- 1417830803
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209.032862 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
719 N William Kumpf Blvd Ste 100
Peoria, IL 61605-2531
Phone: (309) 624-9934
Street-level locationGet directions
Mailing address
15776 Herberger Rd
Mackinaw, IL 61755-9221
Registry dates
- Enumerated
- 2025-07-31
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Frequently asked questions
- What is Kelly Desmarais's NPI number?
- Kelly Desmarais's National Provider Identifier (NPI) is 1417830803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Desmarais's specialty?
- Kelly Desmarais is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Desmarais located?
- Kelly Desmarais's practice location on file with NPPES is 719 N William Kumpf Blvd Ste 100, Peoria, IL 61605-2531.
- What is Kelly Desmarais's phone number?
- The practice phone number listed in the NPPES registry for Kelly Desmarais is (309) 624-9934.
- Is Kelly Desmarais's NPI active?
- Yes — Kelly Desmarais's NPI (1417830803) is active in the NPPES registry as of the last update on 2025-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.