KYLIE ERVIN RN NPI 1972250660

NPI Information

  • NPI: 1972250660
  • Provider Name: KYLIE ERVIN, RN
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6 MARION PT
    PEKIN, IL
    ZIP 61554
  • Phone: (907) 980-2512

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NPI Details

Kylie Ervin, RN is a pediatrics nurse practitioner in Pekin, IL. Kylie Ervin, RN NPI is 1972250660. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6 MARION PT
PEKIN, IL
ZIP 61554-416
Phone: (907) 980-2512

The NPI 1972250660 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/3/2022 and was last updated on 9/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WF0300XRegistered NurseFlight041367713ILLINOISNo
2363LP0200XNurse PractitionerPediatrics209028165ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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