KELSEY WICKENHAUSER PA
NPI 1972849321
Physician Assistant in Godfrey, IL
About Kelsey Wickenhauser Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY WICKENHAUSER PA (NPI 1972849321) is an individual physician assistant in Godfrey, Illinois, licensed in Illinois (085 005 018) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelsey Wickenhauser Pa 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelsey Wickenhauser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bloomington, IL 61701
- Physician assistant employed and billed by this organization, Illinois enrollment
- 43 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wickenhauser's NPI number?
The NPI number for Kelsey Wickenhauser is 1972849321. It was assigned to this individual provider in the NPPES registry on December 12, 2012. The provider is also known as Kelsey Epping PA.
Where is Kelsey Wickenhauser located?
Kelsey Wickenhauser practices at 1368 Dadrian Professional Park, Godfrey, IL 62035. The listed phone number is (309) 530-9841.
What is Kelsey Wickenhauser's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kelsey Wickenhauser enrolled in Medicare?
Yes. Kelsey Wickenhauser 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.
Which organization bills Medicare for Kelsey Wickenhauser's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Wickenhauser is a physician assistant employed by St Joseph Medical Center (Bloomington, IL), which bills Medicare and receives payment for Kelsey Wickenhauser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelsey Wickenhauser was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kelsey Wickenhauser, PA · NPI 1972849321
Physician Assistant physician in Godfrey, Illinois. Individual provider, active in the CMS NPPES registry since December 12, 2012.
## Identity
- **NPI:** 1972849321 (Entity type: Individual)
- **Enumerated:** December 12, 2012
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 085 005 018 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1368 DADRIAN PROFESSIONAL PARK, Godfrey, IL 62035-1685
- **Phone:** (309) 530-9841
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Employed and billed by:** St Joseph Medical Center (NPI 1871547414, Bloomington, IL), under physician assistant employment · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 13, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1972849321) · Data from the CMS NPPES public registry.