ELITE PROFESSIONAL PROVIDERS, LLC
NPI 1891488433
Family Medicine in Springfield, MO
About Elite Professional Providers, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE PROFESSIONAL PROVIDERS, LLC (NPI 1891488433) is a healthcare organization registered as a family medicine in Springfield, Missouri and active in the NPI registry since May 2023. The organization maintains a secondary practice location in Springfield and lists Shawn Kelley, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elite Professional Providers, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Elite Professional Providers, LLC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Elite Professional Providers, LLC's NPI number?
The NPI number for Elite Professional Providers, LLC is 1891488433. It was assigned to this organization in the NPPES registry on May 30, 2023.
Where is Elite Professional Providers, LLC located?
Elite Professional Providers, LLC is located at 3322 S Campbell Ave Ste T-1, Springfield, MO 65807. The listed phone number is (417) 220-4482.
What is Elite Professional Providers, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elite Professional Providers, LLC enrolled in Medicare?
Yes. Elite Professional Providers, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elite Professional Providers, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 5 Medicare specialties reassign their Medicare billing to Elite Professional Providers, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Family Practice (2) and Internal Medicine (2). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Elite Professional Providers, LLC was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Elite Professional Providers, Llc · NPI 1891488433
Family Medicine organization in Springfield, Missouri. Organization record, active in the CMS NPPES registry since May 30, 2023.
## Identity
- **NPI:** 1891488433 (Entity type: Organization)
- **Enumerated:** May 30, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shawn Kelley, COO
## Practice location
- **Address:** 3322 S CAMPBELL AVE STE T-1, Springfield, MO 65807-4980
- **Phone:** (417) 220-4482 · **Fax:** (417) 414-0017
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (2), Internal Medicine (2); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2026
- **Other identifiers:** Medicaid 500128969 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1891488433) · Data from the CMS NPPES public registry.