KELLY ALEXIS MERCHIE (PA-C) – Physician Assistant, NPI 1265048870

KELLY ALEXIS MERCHIE (PA-C) is a healthcare provider. based in Milan, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for KELLY ALEXIS MERCHIE (PA-C) is 1265048870

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KELLY ALEXIS MERCHIE (PA-C)
NPI
1265048870
Phone
(309) 738-5595
Address
10724 50TH ST
Enumeration Date
18 September 2020
Last Update Date
19 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
3375914450
Group Practice PAC ID
6103829338
Professional Enrollment ID
I20240524000526
Address ID
IA528072904DA4700XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

1,648 PHYSICIAN ASSISTANT in IA

Provider Addresses for KELLY ALEXIS MERCHIE (PA-C)

  • 10724 50TH ST

    MILAN, IL 612645204

    Phone: (309) 738-5595

    Type: Mailing

  • 1320 W LOMBARD ST

    DAVENPORT, IA 528042029

    Phone: (309) 738-5595

    Type: Location

  • 1351 W CENTRAL PARK AVE

    DAVENPORT, IA 528041853

    Phone: (563) 421-2320

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 306 Open Payments records for all available years, with a total value of $8,720.

Total Amount is formed as General ($8,720) + Research ($0) + Ownership ($0) = $8,720.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Abbott Laboratories ($1,612).

Total Amount

$8,720

General + Research + Ownership

Payments

306

Total payment records

General Amount

$8,720

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2024-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230127002089IPhysician AssistantILTBD
I20240524000526IPhysician AssistantIATBD

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.

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

Insurance plans in this area (ZIP 61264)

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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: 6103829338View full group profile
NameSpecialtyState
-IA
-IA
Interventional Cardiology, Cardiovascular Disease (Cardiology)IA
-IA
Emergency Medicine, Internal MedicineIA
-IA
Hospitalist, Interventional Pain Management, Family PracticeIA
-IA
Family Practice, Emergency MedicineIA
General SurgeryIL

Reviews

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Frequently asked questions

What unique ID ties claims to KELLY ALEXIS MERCHIE (PA-C)?
NPI 1265048870 is assigned to KELLY ALEXIS MERCHIE (PA-C) under the national enumeration system.
Is KELLY ALEXIS MERCHIE (PA-C)'s NPI currently valid?
The extract we use shows KELLY ALEXIS MERCHIE (PA-C) as active.
What field does KELLY ALEXIS MERCHIE (PA-C) work in?
You can think of KELLY ALEXIS MERCHIE (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KELLY ALEXIS MERCHIE (PA-C)'s primary listing?
We display Milan, Illinois because that is what the record indicates for KELLY ALEXIS MERCHIE (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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