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KELLY MULARKEY PA-C
NPI 1295247559
Physician Assistant - Surgical in Gurnee, IL

Active since October 26, 2017PECOS EnrolledAccepts Medicare Assignment
200 S GREENLEAF ST, GURNEE, IL 60031(847) 244-6060 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 14, 2020, Oct 26, 2017 (2 updates tracked since 2017).

About Kelly Mularkey Pa-c NPPES

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

KELLY MULARKEY PA-C (NPI 1295247559) is an individual surgical provider in Gurnee, Illinois, licensed in Illinois (085006418) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1295247559
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKELLY MULARKEYCredential: PA-C
Location Address200 S GREENLEAF STGurnee, IL 60031-3398
Mailing Address2650 Warrenville Rd Ste 280Downers Grove, IL 60515-2075
Phone(847) 244-6060
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 26, 2017
Last NPPES UpdateFebruary 14, 20202 updates tracked since enumeration
✔ NPI 1295247559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085006418
200 S GREENLEAF ST, Gurnee, IL 60031
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Kelly Mularkey Pa-c 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 ID1850654765
PECOS Enrollment IDI20200728000194
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 2

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

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

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

MAHESH K AGARWAL MD SC
Internal Medicine (Pulmonary Disease)
200 S GREENLEAF ST, SUITE G
GURNEE, IL 60031
Lake County (847) 662-5100
DR. FRANK C SUN MD
Obstetrics & Gynecology
200 S GREENLEAF ST, SUITLE L
GURNEE, IL 60031
Lake County (847) 360-7888
ANWULI OKOLI MD,INC
Anesthesiology (Pain Medicine)
200 S GREENLEAF ST, J
GURNEE, IL 60031
Lake County (847) 672-6478
DR. JAMES WALTER MACROWSKI DDS
Dentist
200 S GREENLEAF ST, SUITE I
GURNEE, IL 60031
Lake County (847) 336-4089
WAUKEGAN CLINIC CORP
Family Medicine
200 S GREENLEAF ST, SUITE A
GURNEE, IL 60031
Lake County (847) 360-3000
DR. ALBINO TIRAO BISMONTE MD
Pediatrics
200 S GREENLEAF ST, SUITE E
GURNEE, IL 60031
Lake County (847) 336-0770
FRANK C SUN MD PC
Obstetrics & Gynecology
200 S GREENLEAF ST, SUITE L
GURNEE, IL 60031
Lake County (847) 360-7888
CHICAGO MEDICAL CLINIC LLC
Internal Medicine (Cardiovascular Disease)
200 S GREENLEAF ST, SUITE A
GURNEE, IL 60031
Lake County (847) 596-4521

Frequently Asked Questions

What is Kelly Mularkey's NPI number?

The NPI number assigned to this healthcare provider is 1295247559, enumerated as an "individual" on October 26, 2017.

Where is the provider located?

The provider is located at 200 S GREENLEAF ST GURNEE, IL 60031 and the phone number is (847) 244-6060.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

What insurance does Kelly Mularkey accept?

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.

Is Kelly Mularkey affiliated with any hospitals?

Kelly Mularkey is affiliated with: ST JOSEPH MEDICAL CENTER and TACOMA GENERAL ALLENMORE HOSPITAL.