Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013647965 Individual Practitioner Female Practitioner

Dr. Kelsey Elizabeth Grimes , DO

Pediatrics • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kelsey Grimes, DO is a registered healthcare professional specializing in Pediatrics in Peoria, IL. Practice services are available at 530 NE GLEN OAK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Telephone 3096552000
Associated Practice Facility / Clinic
🏢 University Of Illinois Facility NPI 1255301909

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
103 Specialists

Practicing in Peoria, IL (3277 Statewide)

Telehealth Adoption Rate
1.0% 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

CMS Verified: 2025-04-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036173499

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Deepak Nair , MD

Psychiatry & Neurology - Neurology

NPI 1003019209

Doctor of Medicine (M.D.)

NPI 1003556580

Doctor of Medicine (M.D.)

Dr. Thomas Blackwell , MD

Student in an Organized Health Care Education/Training Program

NPI 1003666421

Doctor of Medicine (M.D.)

Jacob Clark

Physician Assistant - Medical

NPI 1013614304
Mark Morris , NP

Nurse Practitioner - Acute Care

NPI 1023237476

Nurse Practitioner

Ashwath Ravisankar

Student in an Organized Health Care Education/Training Program

NPI 1023864881

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2025

Pediatrics (License #036173499 in IL)

NPI Profile Active June 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2022

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552000)

📍
Updated Business Mailing Address June 14, 2022

Registered at 2703 N MISSION RD, PEORIA, IL 616042343 (Tel: 6183201321)

👤
Provider Name / Credentials Updated June 14, 2022

Recorded as KELSEY GRIMES, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2022

Pediatrics (License #125.080317 in IL)

🟢
Initial NPI Registration & Enumeration June 14, 2022

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: 1013647965
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2022
Last Update: April 29, 2025
Sole Proprietor: Yes

Mailing Address

2703 N Mission Rd

Peoria, IL 616042343

Phone: 6183201321

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.