CLINTON KREWSON PA
NPI 1447414420
Physician Assistant in Champaign, IL

Q: What is Clinton Krewson's NPI number?

The NPI number for Clinton Krewson is 1447414420. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Q: What is Clinton Krewson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Clinton Krewson was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 July 18, 2008PECOS EnrolledAccepts Medicare Assignment

1802 S MATTIS AVE, CHAMPAIGN, IL 61821(217) 365-2855(217) 365-2856 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2021, Nov 30, 2020, Sep 25, 2020 and 39 more (42 updates tracked since 2017).

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About Clinton Krewson Pa NPPES

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

CLINTON KREWSON PA (NPI 1447414420) is an individual physician assistant in Champaign, Illinois, licensed in Illinois (085008235) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1447414420

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCLINTON KREWSONCredential: PA

Location Address1802 S MATTIS AVEChampaign, IL 61821-5923

Mailing Address611 W Park St, FapcUrbana, IL 61801

Phone(217) 365-2855

Fax(217) 365-2856

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 18, 2008

Last NPPES UpdateJune 11, 202142 updates tracked since enumeration

NPPES CertifiedMay 27, 2021

✔ NPI 1447414420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IL · 085008235✔ Licensed in NC · 0010-07505

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1802 S MATTIS AVE, Champaign, IL 61821

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Secondary Practice Locations 3

Location 1501 Billingsley Rd, Cottage BCharlotte, NC 28211-1009 · Phone (704) 444-5881

Location 216740 Davidson Concord RdDavidson, NC 28036-8746 · Phone (704) 444-2400

Location 3706 W King StKings Mountain, NC 28086-2708 · Phone (980) 487-5470

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Clinton Krewson 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 ID2769749712

PECOS Enrollment IDI20210420002571

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61821 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

RACHAEL D RUBIN PHD

Psychologist