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Active NPI 1972849321 Individual Practitioner Female Practitioner

Kelsey Wickenhauser , PA

Physician Assistant • Godfrey, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelsey Wickenhauser, PA is a certified Physician Assistant practicing in Godfrey, IL. With approximately 14 years of clinical experience since completing medical education in 2012, Kelsey Wickenhauser delivers high-quality medical care to the local community at 1368 DADRIAN PROFESSIONAL PARK.

Kelsey Wickenhauser is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, vaccine for influenza for administration into muscle, 0.5 ml dosage. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1368 Dadrian Professional Park

Godfrey, IL 620351685

Telephone 3095309841
Associated Practice Facility / Clinic
🏢 Optimal Health Medicine Llc Facility NPI 1316299332

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Godfrey, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs Matches City Avg
City Avg: 14.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Godfrey, IL (4958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wickenhauser (14 Years) 14 Yrs
Godfrey Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
36 36 $294.00 $104.30
99213 Established patient office or other outpatient visit, typically 15 minutes
31 31 $208.00 $71.67

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085 005 018

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MO 2012037422

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.

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Osf Multi-Specialty Group

1505 Eastland Dr, Bloomington, IL 617017905

Phone: 3095337455

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Jon Wagnon , DO

Emergency Medicine

NPI 1265623268

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2014

Registered at 1368 DADRIAN PROFESSIONAL PARK, GODFREY, IL 620351685 (Tel: 3095309841)

📍
Updated Business Mailing Address May 13, 2014

Registered at 8416 GANNON AVE, SAINT LOUIS, MO 631324907 (Tel: 3095309841)

👤
Provider Name / Credentials Updated May 13, 2014

Recorded as KELSEY WICKENHAUSER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2014

Physician Assistant (License #085 005 018 in IL)

🟢
Initial NPI Registration & Enumeration December 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972849321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2012
Last Update: May 13, 2014
Sole Proprietor: No

Mailing Address

8416 Gannon Ave

Saint Louis, MO 631324907

Phone: 3095309841

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.