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KELLIE DEWITT PHYSICIAN ASSISTANT
NPI 1871722868
Physician Assistant in El Paso, IL

Active since July 10, 2009PECOS Enrolled
385 S ORANGE STREET, EL PASO, IL 71738(309) 527-4900(309) 527-3525 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kellie Dewitt Physician Assistant NPPES

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

KELLIE DEWITT PHYSICIAN ASSISTANT (NPI 1871722868) is an individual physician assistant in El Paso, Illinois, licensed in Illinois (085003478) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1871722868
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLIE DEWITTCredential: PHYSICIAN ASSISTANT
Location Address385 S ORANGE STREETEl Paso, IL 71738
Mailing Address385 S Orange StEl Paso, IL 61738-1613 · (309) 527-4900 · Fax (309) 527-3525
Phone(309) 527-4900
Fax(309) 527-3525
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 10, 2009
Last NPPES UpdateSeptember 15, 2014
✔ NPI 1871722868 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 · 085003478
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.
385 S ORANGE STREET, El Paso, IL 71738
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Dewitt Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719128982
PECOS Enrollment IDI20130731000085
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Carle Eureka Hospital

Critical Access Hospitals · Eureka, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141309
Location101 S Major StEureka, IL 61530 · Woodford County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers22 claims50 services$5.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims12 services$0.97 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier11 claims11 services$14.68 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier14 claims14 services$44.12 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 supplier12 claims12 services$83.42 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers15 claims2,617 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kellie Dewitt's NPI number?

The NPI number for Kellie Dewitt is 1871722868. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Kellie Dewitt located?

Kellie Dewitt practices at 385 S Orange Street, El Paso, IL 71738. The listed phone number is (309) 527-4900.

What is Kellie Dewitt's specialty?

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

Is Kellie Dewitt enrolled in Medicare?

Yes. Kellie Dewitt is registered in the Medicare PECOS enrollment system.

Is Kellie Dewitt affiliated with any hospitals?

According to CMS data, Kellie Dewitt is affiliated with Carle Bromenn Medical Center and Carle Eureka Hospital.

When was this NPI record last updated?

The NPPES record for Kellie Dewitt was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.