KELSEY EDDINGTON PA-C
NPI 1841073137
Physician Assistant in Bloomington, IL

Active since August 18, 2023PECOS EnrolledAccepts Medicare Assignment
3302 GERIG DR STE 100, BLOOMINGTON, IL 61704(309) 533-7070(855) 710-6552 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2025, Jun 24, 2025, Aug 18, 2023 (3 updates tracked since 2023).

About Kelsey Eddington Pa-c NPPES

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

KELSEY EDDINGTON PA-C (NPI 1841073137) is an individual physician assistant in Bloomington, Illinois, licensed in Illinois (085.009961) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1841073137
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY EDDINGTONCredential: PA-C
Location Address3302 GERIG DR STE 100Bloomington, IL 61704-6343
Mailing Address3302 Gerig Dr Ste 100Bloomington, IL 61704-6343 · (309) 533-7070 · Fax (855) 710-6552
Fax(855) 710-6552
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 18, 2023
Last NPPES UpdateNovember 11, 20253 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
NPI 1841073137 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 · 085.009961
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.
3302 GERIG DR STE 100, Bloomington, IL 61704

Secondary Practice Locations 2

Location 12011 Rock St Ste CPeru, IL 61354-1392 · Phone (815) 410-4555 · Fax (855) 710-6552
Location 21508 W Reynolds StPontiac, IL 61764-2811 · Phone (309) 533-7070 · Fax (855) 710-6552

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

Kelsey Eddington 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 ID8022464122
PECOS Enrollment IDI20231025003729
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 61704 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.

Dermatology
3302 GERIG DR STE 100
BLOOMINGTON, IL 61704
Dermatology (MOHS-Micrographic Surgery)
3302 GERIG DR STE 100
BLOOMINGTON, IL 61704
Physician Assistant
3302 GERIG DR STE 100
BLOOMINGTON, IL 61704

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 Eddington's NPI number?

The NPI number for Kelsey Eddington is 1841073137. It was assigned to this individual provider in the NPPES registry on August 18, 2023.

Where is Kelsey Eddington located?

Kelsey Eddington practices at 3302 Gerig Dr Ste 100, Bloomington, IL 61704. The listed phone number is (309) 533-7070.

What is Kelsey Eddington's specialty?

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

Is Kelsey Eddington enrolled in Medicare?

Yes. Kelsey Eddington 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 Kelsey Eddington was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.