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COLLEEN E KELLY PA
NPI 1568695799
Physician Assistant in Springfield, IL

Active since September 04, 2009PECOS Enrolled
319 E MADISON ST FL 2, SPRINGFIELD, IL 62701(217) 545-8000(217) 545-9537 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 20, 2022, May 21, 2020 (2 updates tracked since 2020).

About Colleen E Kelly Pa NPPES

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

COLLEEN E KELLY PA (NPI 1568695799) is an individual physician assistant in Springfield, Illinois, licensed in Illinois (085003555) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1568695799
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOLLEEN E KELLYCredential: PA
Location Address319 E MADISON ST FL 2Springfield, IL 62701-1035
Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000
Phone(217) 545-8000
Fax(217) 545-9537
Sole ProprietorNo
Enumeration DateSeptember 4, 2009
Last NPPES UpdateDecember 20, 20222 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
✔ NPI 1568695799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085003555
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.
319 E MADISON ST FL 2, Springfield, IL 62701
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Secondary Practice Location 1

Location 12200 Wabash AveSpringfield, IL 62704-5352 · Phone (217) 528-7541 · Fax (217) 528-8962

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen E Kelly Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 62701 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 3

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

MS. INDIA CIERRA WALKER DSW, LCSW
Social Worker (Clinical)
319 E MADISON ST FL 2
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
DR. DAWN MICHELLE PORTER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
319 E MADISON ST FL 2
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
AYAME TAKAHASHI M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
319 E MADISON ST FL 2
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000

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 Colleen Kelly's NPI number?

The NPI number for Colleen Kelly is 1568695799. It was assigned to this individual provider in the NPPES registry on September 4, 2009.

Where is Colleen Kelly located?

Colleen Kelly practices at 319 E Madison St Fl 2, Springfield, IL 62701. The listed phone number is (217) 545-8000.

What is Colleen Kelly's specialty?

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

Is Colleen Kelly enrolled in Medicare?

Yes. Colleen Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colleen Kelly was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.