KELSEY ANN MIX PT, DPT, MS,CMTPT/DN
NPI 1518532977
Physical Therapist in Mchenry, IL
About Kelsey Ann Mix Pt, Dpt, Ms,cmtpt/dn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY ANN MIX PT, DPT, MS,CMTPT/DN (NPI 1518532977) is an individual physical therapist in Mchenry, Illinois, licensed in Illinois (070025867) and active in the NPI registry since May 2021. She is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelsey Ann Mix Pt, Dpt, Ms,cmtpt/dn 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelsey Mix reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mchenry, IL 60050
- Reassigned Medicare billing, Illinois enrollment
- 4 clinicians in this Medicare group
Algonquin, IL 60102
- Reassigned Medicare billing, Illinois enrollment
- 9 clinicians in this Medicare group
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- 1,298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelsey Mix's NPI number?
The NPI number for Kelsey Mix is 1518532977. It was assigned to this individual provider in the NPPES registry on May 26, 2021. The provider is also known as Dr. Kelsey Ann Coolidge.
Where is Kelsey Mix located?
Kelsey Mix practices at 5435 Bull Valley Rd Ste 110, Mchenry, IL 60050. The listed phone number is (815) 451-4502.
What is Kelsey Mix's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kelsey Mix enrolled in Medicare?
Yes. Kelsey Mix 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.
Which organizations bill Medicare for Kelsey Mix's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Mix reassigns Medicare benefits to 3 organizations: Deborah A Mitchell Physical Therapy, LLC (Mchenry, IL), Av360 LLC (Algonquin, IL) and Athletico Ltd (Oak Brook, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Mix's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Mix accept?
Health plans from Oscar Health list Kelsey Mix as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelsey Mix was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.