KELLY SCHNEIDER (PA) – Physician Assistant, NPI 1376686006

KELLY SCHNEIDER (PA) is a healthcare provider. based in Libertyville, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085.008980 (IL). The NPI Number for KELLY SCHNEIDER (PA) is 1376686006

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
KELLY SCHNEIDER (PA)
NPI
1376686006
Phone
(847) 234-1177
Address
1850 W Winchester Rd Ste 106
Enumeration Date
14 February 2007
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2627677000
Graduation Year
2006 (20 years ago)
PAC ID
8123121761
Group Practice PAC ID
6709794258
Professional Enrollment ID
I20070320000116
Address ID
WI531051828BU252XXSTXX300

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
kschneider386006@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for KELLY SCHNEIDER (PA)

  • 1850 W Winchester Rd Ste 106

    Libertyville, IL 600485355

    Phone: (847) 234-1177

    Fax: (847) 234-1875

    Type: Location

  • 925 Sherwood Dr

    Lake Bluff, IL 600442203

    Phone: (847) 234-1177

    Fax: (847) 234-1875

    Type: Location

  • 3811 SPRING ST STE 301

    RACINE, WI 534051667

    Phone: (262) 687-6260

    Type: Mailing

  • PO BOX 735044

    CHICAGO, IL 606735044

    Phone: (800) 326-2250

    Type: Mailing

  • 248 MCHENRY ST

    BURLINGTON, WI 531051828

    Phone: (262) 767-8000

    Type: Location

  • 925 SHERWOOD DR

    LAKE BLUFF, IL 600442203

    Phone: (847) 234-1177

    Fax: (847) 234-1875

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $595.

Total Amount is formed as General ($595) + Research ($0) + Ownership ($0) = $595.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($143).

Total Amount

$595

General + Research + Ownership

Payments

16

Total payment records

General Amount

$595

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-03-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070320000116IPhysician AssistantWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths14326$0
99214Established patient office or other outpatient visit, 30-39 minutes5451$0
17000Destruction of precancer skin growth, 1 growth3532$0
11102Biopsy of related skin growth, first growth2522$0
99213Established patient office or other outpatient visit, 20-29 minutes2421$0
View full utilization report →

Insurance plans in this area (ZIP 60048)

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Provider's Procedures

KELLY SCHNEIDER (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTWI11101Biopsy of each additional growth of skin and/or tissue8047
PHYSICIAN ASSISTANTWI17003Destruction of 2-14 skin growths868149

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709794258View full group profile

Reviews

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Frequently asked questions

What number should I use to identify KELLY SCHNEIDER (PA) for billing?
Administrative and clinical systems typically use NPI 1376686006 for KELLY SCHNEIDER (PA).
Should I treat KELLY SCHNEIDER (PA) as an active provider?
Patients and plans typically see KELLY SCHNEIDER (PA) as active in the national extract.
What services align with KELLY SCHNEIDER (PA)'s listing?
KELLY SCHNEIDER (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KELLY SCHNEIDER (PA) tied to Libertyville, Illinois?
If you are local to Libertyville, Illinois, KELLY SCHNEIDER (PA) may be relevant to your search.
Can I export KELLY SCHNEIDER (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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