KILEY ANN OWEN PA
NPI 1073754628
Physician Assistant - Medical in Urbana, IL

Q: What is Kiley Owen's NPI number?

The NPI number for Kiley Owen is 1073754628. It was assigned to this individual provider in the NPPES registry on March 11, 2009.

Q: What is Kiley Owen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kiley Owen was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 11, 2009PECOS EnrolledAccepts Medicare Assignment

611 W PARK ST, EMERGENCY, URBANA, IL 61801(217) 383-3313(217) 383-4014 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kiley Ann Owen Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KILEY ANN OWEN PA (NPI 1073754628) is an individual medical provider in Urbana, Illinois, licensed in Illinois (085003414) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1073754628

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKILEY ANN OWENCredential: PA

Location Address611 W PARK ST, EMERGENCYUrbana, IL 61801-2529

Mailing Address611 W Park St, BwpcUrbana, IL 61801-2529 · (217) 383-6792 · Fax (217) 383-4014

Phone(217) 383-3313

Fax(217) 383-4014

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 11, 2009

Last NPPES UpdateJuly 28, 2025

NPPES CertifiedJuly 28, 2025

✔ NPI 1073754628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085003414

Also ListedPhysician AssistantTaxonomy 363A00000X · License 085003414 (IL)

611 W PARK ST, Urbana, IL 61801

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kiley Ann Owen Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911045943

PECOS Enrollment IDI20091112000356

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology