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BRADY NEITZEL PA-C
NPI 1477371029
Physician Assistant in Urbana, IL

Active since October 02, 2024PECOS EnrolledAccepts Medicare Assignment
1111 W KENYON RD STE B, URBANA, IL 61801(217) 819-3376 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brady Neitzel Pa-c NPPES

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

BRADY NEITZEL PA-C (NPI 1477371029) is an individual physician assistant in Urbana, Illinois and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477371029
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRADY NEITZELCredential: PA-C
Location Address1111 W KENYON RD STE BUrbana, IL 61801-1006
Mailing Address1111 W Kenyon Rd Ste BUrbana, IL 61801-1006
Phone(217) 819-3376
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 2, 2024
Last NPPES UpdateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1477371029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1111 W KENYON RD STE B, 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

Brady Neitzel 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 ID8527571884
PECOS Enrollment IDI20250630003231
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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.

Other Providers at the Same Location NPPES 4

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

KRISANDRA BANET
Physician Assistant
1111 W KENYON RD STE B
URBANA, IL 61801
Champaign County (217) 729-7657
SARAH J. KINCAID PA-C
Physician Assistant
1111 W KENYON RD STE B
URBANA, IL 61801
Champaign County (217) 819-3376
JEREMY SCOTT YOUSE MD
Dermatology (MOHS-Micrographic Surgery)
1111 W KENYON RD STE B
URBANA, IL 61801
Champaign County (217) 819-3376
KHOA NGUYEN APRN, CNP
Nurse Practitioner
1111 W KENYON RD STE B
URBANA, IL 61801
Champaign County (217) 819-3376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brady Neitzel's NPI number?

The NPI number for Brady Neitzel is 1477371029. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Where is Brady Neitzel located?

Brady Neitzel practices at 1111 W Kenyon Rd Ste B, Urbana, IL 61801. The listed phone number is (217) 819-3376.

What is Brady Neitzel's specialty?

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

Is Brady Neitzel enrolled in Medicare?

Yes. Brady Neitzel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brady Neitzel was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.