Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205090644 Individual Practitioner Female Practitioner

Colleen M Canavan , PA

Physician Assistant • Jerseyville, IL

Professional Overview & Biography Verified Profile Summary

Colleen Canavan, PA is a registered healthcare professional specializing in Physician Assistant in Jerseyville, IL. Practice services are available at 390 MAPLE SUMMIT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

390 Maple Summit Rd

Jerseyville, IL 620522000

Telephone 6184982101
Fax 6184988153
Associated Practice Facility / Clinic
🏢 Jersey Community Hospital Facility NPI 1811392970

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jerseyville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Jerseyville, IL (4958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085000651

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.

Practice Associates & Co-Workers

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

12 Associated Practitioners
Victoria Hargrave , FNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023259967

Family Nurse Practitioner (Board Certified)

Deborah Seymour , APN-BC

Nurse Practitioner

NPI 1053345488

APNBC

Abby Medford , PA-C

Physician Assistant

NPI 1114759255

Physician Assistant (Certified)

Alexandra Evans , FNP-BC

Nurse Practitioner - Family

NPI 1134719537

Family Nurse Practitioner (Board Certified)

Dr. Timothy Lyons , MD

Family Medicine

NPI 1164636825

Doctor of Medicine (M.D.)

Dr. Lester Crancer , DO

Internal Medicine

NPI 1285682864

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 September 21, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2016

Registered at 390 MAPLE SUMMIT RD, JERSEYVILLE, IL 620522000 (Tel: 6184982101)

📍
Updated Business Mailing Address September 21, 2016

Registered at 390 MAPLE SUMMIT RD, JERSEYVILLE, IL 620522000 (Tel: 6184982101)

👤
Provider Name / Credentials Updated September 21, 2016

Recorded as COLLEEN CANAVAN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2016

Physician Assistant (License #085000651 in IL)

🟢
Initial NPI Registration & Enumeration July 15, 2008

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: 1205090644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2008
Last Update: September 21, 2016
Sole Proprietor: No

Mailing Address

390 Maple Summit Rd

Jerseyville, IL 620522000

Phone: 6184982101

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.