Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568695799 Individual Practitioner Female Practitioner

Colleen E Kelly , PA

Physician Assistant • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Colleen Kelly, PA is a registered healthcare professional specializing in Physician Assistant in Springfield, IL. Practice services are available at 319 E MADISON ST FL 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

319 E Madison St Fl 2

Springfield, IL 627011035

Telephone 2175458000
Fax 2175459537
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
103 Specialists

Practicing in Springfield, IL (4958 Statewide)

Telehealth Adoption Rate
10.7% 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: 2022-12-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085003555

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.

Secondary Practice Locations

2200 Wabash Ave

Springfield, IL 627045352

Phone: 2175287541

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 20, 2022

Registered at 319 E MADISON ST FL 2, SPRINGFIELD, IL 627011035 (Tel: 2175458000)

📍
Updated Business Mailing Address December 20, 2022

Registered at 201 E MADISON ST STE 328, SPRINGFIELD, IL 627025131 (Tel: 2175458000)

NPI Profile Active September 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2013

Registered at 2200 WABASH AVE, SPRINGFIELD, IL 627045352 (Tel: 2175287541)

📍
Updated Business Mailing Address September 13, 2013

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

👤
Provider Name / Credentials Updated September 13, 2013

Recorded as COLLEEN KELLY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2013

Physician Assistant (License #085003555 in IL)

🟢
Initial NPI Registration & Enumeration September 04, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568695799
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2009
Last Update: December 20, 2022
Sole Proprietor: No

Mailing Address

201 E Madison St Ste 328

Springfield, IL 627025131

Phone: 2175458000

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.