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KELLY MARONEY VINSON PA-C
NPI 1639211089
Physician Assistant in Lindenhurst, IL

Active since February 13, 2007PECOS Enrolled
3021 FALLING WATERS BLVD, SUITE A, LINDENHURST, IL 60046(847) 356-9300(847) 356-7260 Get Directions Write a Review

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

About Kelly Maroney Vinson Pa-c NPPES

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

KELLY MARONEY VINSON PA-C (NPI 1639211089) is an individual physician assistant in Lindenhurst, Illinois, licensed in Illinois (085002418) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gurnee.

NPPES Registry Identity

NPI1639211089
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY MARONEY VINSONCredential: PA-C
Location Address3021 FALLING WATERS BLVD, SUITE ALindenhurst, IL 60046-6793
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040 · Fax (847) 733-5315
Phone(847) 356-9300
Fax(847) 356-7260
Sole ProprietorYes
Enumeration DateFebruary 13, 2007
Last NPPES UpdateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1639211089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085002418
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
3021 FALLING WATERS BLVD, Lindenhurst, IL 60046
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Other Names 1

Former Name (1)Kelly Ann Maroney Pa

Secondary Practice Location 1

Location 1731 S Il Route 21 Ste 130Gurnee, IL 60031-3803 · Phone (847) 566-3337 · Fax (847) 816-3166

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Maroney Vinson Pa-c 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.

Areas of Expertise CMS Part B claims 5

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
115 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60046 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 16

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

DR. THOMAS MICHAEL MCGOWAN M.D.
Family Medicine
3021 FALLING WATERS BLVD, SUITE A
LINDENHURST, IL 60046
Lake County (847) 356-9300
EMILIE BRENNAN PA-C
Physician Assistant
3021 FALLING WATERS BLVD
LINDENHURST, IL 60046
Lake County (847) 356-9300
SARAH GURCHAK PA-C
Physician Assistant
3021 FALLING WATERS BLVD
LINDENHURST, IL 60046
Lake County (847) 356-9300
CHRISTINE KHARASCH MD
Family Medicine
3021 FALLING WATERS BLVD, SUITE A
LINDENHURST, IL 60046
Lake County (847) 356-9300
MR. ANDREW R PRELLETZ PA-C
Physician Assistant
3021 FALLING WATERS BLVD, SUITE A
LINDENHURST, IL 60046
Lake County (847) 356-9300
STEPHEN J. CLARK M.D.,P.C.
Clinic/Center (Primary Care)
3021 FALLING WATERS BLVD, SUITE A
LINDENHURST, IL 60046
Lake County (847) 356-9300
MRS. HEIDI J HELGESON DONAUBAUER L.M.T
Specialist
3021 FALLING WATERS BLVD, SUITE C
LINDENHURST, IL 60046
Lake County (847) 356-2895
DR. STEPHEN JAMES CLARK M.D.
Family Medicine
3021 FALLING WATERS BLVD, SUITE A
LINDENHURST, IL 60046
Lake County (847) 356-9300

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 Kelly Vinson's NPI number?

The NPI number for Kelly Vinson is 1639211089. It was assigned to this individual provider in the NPPES registry on February 13, 2007. The provider is also known as Kelly Ann Maroney PA.

Where is Kelly Vinson located?

Kelly Vinson practices at 3021 Falling Waters Blvd Suite A, Lindenhurst, IL 60046. The listed phone number is (847) 356-9300.

What is Kelly Vinson's specialty?

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

Is Kelly Vinson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Vinson was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.