1. Home
  2. Directory
  3. Illinois
  4. Harrisburg
  5. Physician Assistant
  6. NPI Profile

KELLY L PHELPS PA-C
NPI 1700844925
Physician Assistant in Harrisburg, IL

Active since May 04, 2006PECOS Enrolled
117 E CLARK ST, HARRISBURG, IL 62946(618) 252-8625(618) 252-2540 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2021, May 6, 2019 (2 updates tracked since 2019).

About Kelly L Phelps Pa-c NPPES

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

KELLY L PHELPS PA-C (NPI 1700844925) is an individual physician assistant in Harrisburg, Illinois, licensed in Illinois (085001033) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1700844925
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY L PHELPSCredential: PA-C
Location Address117 E CLARK STHarrisburg, IL 62946-2702
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200 · Fax (618) 529-0586
Phone(618) 252-8625
Fax(618) 252-2540
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
✔ NPI 1700844925 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 · 085001033
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.
117 E CLARK ST, Harrisburg, IL 62946
Open in Google Maps ↗

Secondary Practice Locations 3

Location 17211 US 45 SCarrier Mills, IL 62917-1305 · Phone (618) 994-2321 · Fax (618) 994-2034
Location 2900 Logan College RoadCarterville, IL 62918 · Phone (618) 956-9202 · Fax (618) 956-9205
Location 32808 Outer DrMarion, IL 62959-5207 · Phone (618) 993-3817 · Fax (618) 993-3908

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 L Phelps 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62946 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier11 claims30 services$2.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier26 claims26 services$105.06 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$34.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. KRYSTA ANN MITCHELL FNP-C
Nurse Practitioner
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 252-8625
DR. JENNIFER MARIE SCAGLIOLA D.O.
Surgery
117 E CLARK ST, SIH MEDICAL GROUP PRIMARY CARE HARRISBURG
HARRISBURG, IL 62946
Saline County (618) 252-8625
JOSEPH BAXTER DPT
Physical Therapist
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 294-9326
KIMBERLY ANN KESER CS-FNP
Nurse Practitioner
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 252-8625
BRENT M JONES MD
Family Medicine
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 252-8625
DIANNA QUESTELLE
Massage Therapist
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 252-8625
MRS. KATHERINE EMILY JONES LCSW
Social Worker (Clinical)
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 927-8942
TURENNE M METAYER DPM
Podiatrist (Foot & Ankle Surgery)
117 E CLARK ST
HARRISBURG, IL 62946
Saline County (618) 294-9300

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 Phelps's NPI number?

The NPI number for Kelly Phelps is 1700844925. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Kelly Phelps located?

Kelly Phelps practices at 117 E Clark St, Harrisburg, IL 62946. The listed phone number is (618) 252-8625.

What is Kelly Phelps's specialty?

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

Is Kelly Phelps enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Phelps was last updated on February 16, 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.