KELLY L PHELPS (PA-C) – Physician Assistant, NPI 1700844925

KELLY L PHELPS (PA-C) is a healthcare provider. based in Carrier mills, Illinois. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 085001033 (IL). The NPI Number for KELLY L PHELPS (PA-C) is 1700844925

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
KELLY L PHELPS (PA-C)
NPI
1700844925
Phone
(618) 994-2321
Address
7211 US 45 S
Enumeration Date
4 May 2006
Last Update Date
16 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185495361
Graduation Year
1996 (30 years ago)
PAC ID
2264469410
Group Practice PAC ID
3678677390
Professional Enrollment ID
I20050720000343

Contacts

Secure Messaging
kphelps14086@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for KELLY L PHELPS (PA-C)

  • 7211 US 45 S

    Carrier Mills, IL 629171305

    Phone: (618) 994-2321

    Fax: (618) 994-2034

    Type: Location

  • 2808 Outer Dr

    Marion, IL 629595207

    Phone: (618) 993-3817

    Fax: (618) 993-3908

    Type: Location

  • 900 Logan College Road

    Carterville, IL 62918

    Phone: (618) 956-9202

    Fax: (618) 956-9205

    Type: Location

  • Carbondale Post Office, Main Street, Carbondale, Osage County, Kansas, 66414, United States

    CARBONDALE, IL 629023988

    Phone: (618) 457-5200

    Fax: (618) 529-0586

    Type: Mailing

  • Primary Care Group, 117, East Clark Street, Gaskins City, Harrisburg, Saline County, Illinois, 62946, United States

    HARRISBURG, IL 629462702

    Phone: (618) 252-8625

    Fax: (618) 252-2540

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62917)

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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: 3678677390View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YIL
-IL
Nurse PractitionerMO
Emergency MedicineIL
-IL
N E U R O L O G YIL
General SurgeryIL
-IL
Pediatric Medicine, Internal MedicineIL
-IL

Reviews

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Frequently asked questions

Is there an official ID for KELLY L PHELPS (PA-C) in U.S. healthcare records?
The official identifier for KELLY L PHELPS (PA-C) is NPI 1700844925.
Active or inactive — what applies to KELLY L PHELPS (PA-C)?
You should see KELLY L PHELPS (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to KELLY L PHELPS (PA-C)?
KELLY L PHELPS (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KELLY L PHELPS (PA-C)?
Travel planning: use Carrier Mills, Illinois as the reference point for KELLY L PHELPS (PA-C), then confirm.
When was this NPI issued?
Enumeration for KELLY L PHELPS (PA-C) is noted as May 4, 2006 where the registry provides it.

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