GRACE MARIE KALENYK (PA-C) – Physician Assistant, NPI 1851876593
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for GRACE MARIE KALENYK (PA-C)
11301, North Brimfield Road, Brimfield, Peoria County, Illinois, 61517, United States
BRIMFIELD, IL 615179264
Phone: (309) 645-6149
Type: Mailing
5114, North Glen Park Pl Road, Peoria, Peoria County, Illinois, 61614, United States
PEORIA, IL 616144686
Phone: (309) 655-2431
Type: Location
520 S Maple Ave
Oak Park, IL 603041022
Phone: (708) 383-9300
Type: Location
8600 Illinois State Route 91
Peoria, IL 61615
Phone: (309) 655-2431
Type: Location
5114 N Glen Park Place Rd
Peoria, IL 616144686
Phone: (309) 655-2431
Type: Location
435 Maxine Dr
Morton, IL 615502498
Phone: (309) 655-2431
Type: Location
303 W LAKE ST
ADDISON, IL 601012586
Phone: (630) 527-3645
Type: Location
2650 RIDGE AVE STE 1223
EVANSTON, IL 602011700
Phone:
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-12-11
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 |
|---|---|---|---|---|
| I20181211000214 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61517)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IL | |
| Clinical Social Worker | IL | |
| Certified Nurse Midwife (Cnm) | IL |
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