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MS. EMILY ELISE KERMICLE PA-C
NPI 1881935245
Physician Assistant in Carbondale, IL

Active since March 11, 2013PECOS Enrolled
305 W JACKSON ST, SUITE 200, CARBONDALE, IL 62901(618) 536-6621(618) 453-1102 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2020, Oct 5, 2018 (2 updates tracked since 2018).

About Ms. Emily Elise Kermicle Pa-c NPPES

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

MS. EMILY ELISE KERMICLE PA-C (NPI 1881935245) is an individual physician assistant in Carbondale, Illinois, licensed in Illinois (085004680) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Frankfort.

NPPES Registry Identity

NPI1881935245
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. EMILY ELISE KERMICLECredential: PA-C
Location Address305 W JACKSON ST, SUITE 200Carbondale, IL 62901-1474
Mailing Address305 W Jackson St, Suite 200Carbondale, IL 62901-1474 · (618) 536-6621 · Fax (618) 453-1102
Phone(618) 536-6621
Fax(618) 453-1102
Sole ProprietorNo
Enumeration DateMarch 11, 2013
Last NPPES UpdateDecember 28, 20202 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
✔ NPI 1881935245 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 · 085004680
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.
305 W JACKSON ST, Carbondale, IL 62901
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Secondary Practice Location 1

Location 12553 Ken Gray BlvdWest Frankfort, IL 62896-4174 · Phone (618) 932-3937 · Fax (618) 932-2734

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Emily Elise Kermicle 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 62901 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

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$922.35 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.

MR. BRADLEY C. BRUSH A.T.C., C.S.C.S.
Specialist/Technologist (Athletic Trainer)
305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901
Jackson County (618) 549-0721
STOKES INSTITUTE OF UROLOGY, LLC
Specialist
305 W JACKSON ST, SUITE 400
CARBONDALE, IL 62901
Jackson County (618) 351-9300
MR. MICHAEL LEROY MATTESON PA C
Physician Assistant (Surgical)
305 W JACKSON ST, SUITE 105
CARBONDALE, IL 62901
Jackson County (618) 536-2565
L. NEAL MCCAIN, M.D, LTD.
Surgery
305 W JACKSON ST, SUITE 302
CARBONDALE, IL 62901
Jackson County (618) 529-1770
SCOTT K SCHONEWOLF M.D.
Family Medicine
305 W JACKSON ST, SUITE 200
CARBONDALE, IL 62901
Jackson County (618) 453-3777
LAURA E CHANDLER MS/CCC-SLP
Speech-Language Pathologist
305 W JACKSON ST, SUITE LL02
CARBONDALE, IL 62901
Jackson County (618) 529-0516
KUSHAN D. MOONESINGHE M.D.
Family Medicine
305 W JACKSON ST, STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
KYAW T NAING M.D., PH.D.
Family Medicine
305 W JACKSON ST, STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621

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 Emily Kermicle's NPI number?

The NPI number for Emily Kermicle is 1881935245. It was assigned to this individual provider in the NPPES registry on March 11, 2013.

Where is Emily Kermicle located?

Emily Kermicle practices at 305 W Jackson St Suite 200, Carbondale, IL 62901. The listed phone number is (618) 536-6621.

What is Emily Kermicle's specialty?

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

Is Emily Kermicle enrolled in Medicare?

Yes. Emily Kermicle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Kermicle was last updated on December 28, 2020. 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.