KELLIE JANSSEN (PA-C) – Physician Assistant, NPI 1194014498
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for KELLIE JANSSEN (PA-C)
4700 GILBERT AVE STE 51
WESTERN SPRINGS, IL 605581664
Phone: (708) 387-1737
Fax: (708) 387-1739
Type: Mailing
10001 W INNOVATION DR STE 200
MILWAUKEE, WI 532264851
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Mailing
1739 FREEDOM DR STE 101
NAPERVILLE, IL 605633565
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Location
2060 E Algonquin Rd Ste 720
Schaumburg, IL 601734182
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $333.
Total Amount is formed as General ($333) + Research ($0) + Ownership ($0) = $333.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Medtronic, Inc. ($164).
Total Amount
$333
General + Research + Ownership
Payments
3
Total payment records
General Amount
$333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $164 |
| Endo USA, Inc. | $146 |
| Endo Pharmaceuticals Inc. | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181029000367 | I | Physician Assistant | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 430 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 256 | 196 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 109 | 109 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 107 | 75 | $0 |
| 20550 | Injection into tendon or ligament | 84 | 46 | $0 |
Insurance plans in this area (ZIP 60558)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| Otolaryngology, Allergy/Immunology | WI | |
| Physician Assistant | NY | |
| Physician Assistant | WI | |
| Physician Assistant | IL | |
| - | WI | |
| O T O L A R Y N G O L O G Y | IL | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | IL |
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