Kellie Christel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085008269 Issued in IL

Practice address

1384 Briarcliffe Blvd
Wheaton, IL 60189-7730

Phone

(630) 802-1392

NPI assigned

Apr 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kellie Kurt Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Illinois Emergency Medicine Specialists, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bolingbrook, IL
  • NPI 1003150962
  Medicare reassignment
• New Rose Healthcare Management LLC

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1043816515
  Medicare reassignment

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1083234694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 BRIARCLIFFE BLVD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897730",
            "telephone_number": "630-802-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 BRIARCLIFFE BLVD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897730",
            "telephone_number": "630-802-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTEL",
        "first_name": "KELLIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085008269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "KURT",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chirosolutions, P.C.
• Christine Chlebos
• Steve J Choi, PHARMD
• Nehal Choksi
• Preeti Choudhary
• William J Christiansen
• Vickyann Chrobak, D.D.S.
• Allyson Chrystal
• Rashmi K. Chugh, M.D., M.P.H.
• Jennifer Chung, APRN, CNP

• Physician Assistant in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.