Individual provider Active NPI

Annevay Conlee, MD

  • Family Medicine Physician
  • Galesburg, IL
National Provider Identifier
1053540237
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036129398 Issued in IL
Practice address
3375 N Seminary St
Galesburg, IL 61401-1251
Phone
(309) 343-5114
NPI assigned
Jul 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036129398 IL Primary

Addresses

Primary practice location

3375 N Seminary St
Galesburg, IL 61401-1251

Mailing address

3375 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 343-5114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121003000887 IL Practitioner - Family Practice 9537318753 Reassigns benefits to 4 organizations

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Osf Healthcare - Medical Group - SeminaryGalesburg, IL, CCN 148651 Rural health clinic Contracted Managing Employee
Operational/Managerial Control
Dec 1, 2022
Dec 1, 2022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036129398ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System Current Accepting new patients
Osf Healthcare System CurrentSince May 6, 2020 Accepting new patients
St. Mary Medical Center Family Medicine CurrentSince Dec 1, 2022 Accepting new patients
Osf Healthcare System CurrentSince Jan 17, 2018 Accepting new patients
St Mary Medical Center Current Accepting new patients
Osf Healthcare System CurrentSince Jan 17, 2018 Accepting new patients
Osf Healthcare System Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 1, 2016 Accepting new patients
St Mary Medical Center Past Accepting new patients

Locations

3375 N Seminary St
Galesburg, IL 61401
Phone (309) 343-5114

3315 N Seminary St
Galesburg, IL 61401
Phone (309) 344-1000

1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141

904 E Main St
Knoxville, IL 61448
Phone (309) 289-2335

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Healthcare System 94 clinicians
St Mary Medical Center 52 clinicians
Osf Multi-Specialty Group 2,123 clinicians

Practice addresses (Care Compare)

1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141

104 S Broadway St
Knoxville, IL 61448
Phone (309) 289-2335

3315 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-1000

3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161

3375 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 676-0766

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

904 E Main St
Osf Healthcare Medical Group Knoxville
Knoxville, IL 61448-1539
Phone (309) 289-2335

Hospital & facility affiliations

  • Osf Home Health-Western Region Home health agency, Galesburg, IL, CCN 147430
  • Western Ill Home HLTH Care in Home health agency, Monmouth, IL, CCN 147204
  • Hospice Compassus - Northwest Illinois Hospice, Galesburg, IL, CCN 141581
  • St Mary Medical Center Hospital, Galesburg, IL, CCN 140064
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Osf Holy Family Medical Center Hospital, Monmouth, IL, CCN 141318
  • Osf Saint Luke Medical Center Hospital, Kewanee, IL, CCN 141325

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1053540237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 N SEMINARY ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011251",
            "telephone_number": "309-343-5114",
            "fax_number": "309-343-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 N SEMINARY ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011251",
            "telephone_number": "309-343-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEE",
        "first_name": "ANNEVAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036129398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.