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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ELITE PROFESSIONAL PROVIDERS, LLC
NPI 1891488433
Family Medicine in Springfield, MO

Active since May 30, 2023
3322 S CAMPBELL AVE STE T-1, SPRINGFIELD, MO 65807(417) 220-4482(417) 414-0017 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2026, Nov 17, 2023, May 30, 2023 (3 updates tracked since 2023).

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

NPI1891488433
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELITE PROFESSIONAL PROVIDERS, LLC
Location Address3322 S CAMPBELL AVE STE T-1Springfield, MO 65807-4980
Mailing Address2135 E Independence St # 1093Springfield, MO 65804-3749 · (417) 220-4482 · Fax (417) 414-0017
Phone(417) 220-4482
Fax(417) 414-0017
Organization SubpartNo
Authorized OfficialShawn KelleyCoo · (417) 220-4482
Enumeration DateMay 30, 2023
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1891488433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
3322 S CAMPBELL AVE STE T-1, Springfield, MO 65807
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Secondary Practice Location 1

Location 11655 S Enterprise Ave Ste A3Springfield, MO 65804-1864 · Phone (417) 220-4480 · Fax (417) 414-0017

Other Identifiers 1

Medicaid500128969MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS E DAHLBERG MD
Family Medicine
3322 S CAMPBELL AVE STE T-1
SPRINGFIELD, MO 65807
Greene County (417) 220-4480
JENNIFER MARIE STOREY FNP-BC
Nurse Practitioner (Family)
3322 S CAMPBELL AVE STE T-1
SPRINGFIELD, MO 65807
Greene County (417) 220-4480
DR. CHRISTOPHER W BILLINGS DO
Family Medicine
3322 S CAMPBELL AVE STE T-1
SPRINGFIELD, MO 65807
Greene County (417) 220-4480
JOSEPH ADAM REIGHARD FNP-C, PMHNP-C
Nurse Practitioner (Family)
3322 S CAMPBELL AVE STE T-1
SPRINGFIELD, MO 65807
Greene County (417) 220-4482
LEE-AMY K. CHOATE NP
Nurse Practitioner
3322 S CAMPBELL AVE STE T-1
SPRINGFIELD, MO 65807
Greene County (417) 220-4480
LYNDA KAYE NICKLE LCSW
Social Worker (Clinical)
3322 S CAMPBELL AVE STE T-1
SPRINGFIELD, MO 65807
Greene County (417) 220-4480
JANA LEA SCOTT NP-C
Nurse Practitioner (Family)
3322 S CAMPBELL AVE STE T-1
SPRINGFIELD, MO 65807
Greene County (417) 220-4480
GREGORIA VILLARUEL-KIRK FNP
Nurse Practitioner (Family)
3322 S CAMPBELL AVE STE T-1
SPRINGFIELD, MO 65807
Greene County (417) 220-4480

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.

What insurance does Elite Professional Providers, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Elite Professional Providers, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 with the weekly NPPES data releases published by CMS.