KASEY L PONTARELLI (P.A.-C.) – Physician Assistant, NPI 1912379462

KASEY L PONTARELLI (P.A.-C.) is a healthcare provider. based in Woodridge, Illinois. specializing in Physician Assistant. They hold the professional credentials P.A.-C.. They hold a License No. 085.005706 (IL). The NPI Number for KASEY L PONTARELLI (P.A.-C.) is 1912379462

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KASEY L PONTARELLI (P.A.-C.)
NPI
1912379462
Phone
(630) 607-2567
Address
1209 RICHFIELD CT
Enumeration Date
23 October 2015
Last Update Date
14 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082362600
Graduation Year
2015 (11 years ago)
PAC ID
5092015321
Group Practice PAC ID
0244143196
Professional Enrollment ID
I20151118001523
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for KASEY L PONTARELLI (P.A.-C.)

  • 1209 RICHFIELD CT

    WOODRIDGE, IL 605177709

    Phone: (630) 607-2567

    Type: Mailing

  • 1611 W HARRISON ST

    CHICAGO, IL 606124861

    Phone: (312) 432-2347

    Type: Location

  • PO BOX 735263

    CHICAGO, IL 606735263

    Phone:

    Type: Mailing

  • BOX 78534

    MILWAUKEE, WI 53278

    Phone:

    Type: Mailing

  • 324 ROXBURY RD

    ROCKFORD, IL 611075090

    Phone: (815) 398-9491

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2023-03-09 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($135).

Total Amount

$135

General + Research + Ownership

Payments

1

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$135
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.

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 60517)

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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: 0244143196View full group profile

Reviews

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Frequently asked questions

What is KASEY L PONTARELLI (P.A.-C.)'s NPI number?
KASEY L PONTARELLI (P.A.-C.)'s NPI is 1912379462 — the number used across U.S. healthcare to identify this provider.
Is KASEY L PONTARELLI (P.A.-C.) shown as active in public data?
Registry records indicate KASEY L PONTARELLI (P.A.-C.) maintains an active NPI.
What kind of doctor is KASEY L PONTARELLI (P.A.-C.)?
KASEY L PONTARELLI (P.A.-C.) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KASEY L PONTARELLI (P.A.-C.)?
Directory geography for KASEY L PONTARELLI (P.A.-C.) centers on Woodridge, Illinois.
Can I trust this NPI listing for KASEY L PONTARELLI (P.A.-C.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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