Individual provider Active NPI

Kelsey Elizabeth Freeman, PA

  • Physician Assistant
  • Normal, IL
National Provider Identifier
1093365678
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.007261 Issued in IL
Practice address
207 Landmark Dr Ste a
Normal, IL 61761-3195
Phone
(309) 268-3200
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.007261 IL Primary

Addresses

Primary practice location

207 Landmark Dr Ste a
Normal, IL 61761-3195

Mailing address

8417 Edgewater Dr
Carlock, IL 61725-9668
Phone (309) 287-4869

Other names 1

  • Kelsey Elizabeth Shrier Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200124001621 IL Practitioner - Physician Assistant 7416382288 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.007261ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Dec 1, 2020 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Carle West Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients

Locations (25 of 28)

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

508 Iaa Dr
Bloomington, IL 61701
Phone (309) 451-2080

302 Saint Joseph Dr
Bloomington, IL 61701
Phone (309) 662-5361

2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852

1 N Logan Ave
Danville, IL 61832
Phone (217) 554-6827

3653 N Vermilion St
Danville, IL 61832
Phone (217) 554-6827

133 Spinder Dr
Ste 4015
East Peoria, IL 61611

2917 W 95th St
Evergreen Park, IL 60805
Phone (708) 907-4355

2779 Volunteer Dr
Ste 201
Galesburg, IL 61401
Phone (309) 345-9400

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

3315 W 115th St
Unit C
Merrionette Park, IL 60803
Phone (708) 907-4355

1715 N Division St
Ste 4D
Morris, IL 60450

853 W Jackson St
Morton, IL 61550

207 Landmark Dr
Ste A
Normal, IL 61761
Phone (309) 268-3200

211 Greenbriar Dr
Normal, IL 61761
Phone (309) 268-9807

1730 Bradford Ln
Normal, IL 61761
Phone (309) 451-2080

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

6356 W 95th St
Oak Lawn, IL 60453
Phone (708) 907-4355

2911 Columbus St
Ottawa, IL 61350
Phone (815) 431-3410

2301 Court St
Pekin, IL 61554
Phone (303) 308-5100

8600 State Route 91
Ste 300
Peoria, IL 61615
Phone (309) 691-6616

3626 N Sheridan Rd
Peoria, IL 61604

5905 N Prospect Rd
Peoria, IL 61614

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

5209 W War Memorial Dr
Peoria, IL 61615

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1093365678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 EDGEWATER DR",
            "city": "CARLOCK",
            "state": "IL",
            "postal_code": "617259668",
            "telephone_number": "309-287-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 LANDMARK DR STE A",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613195",
            "telephone_number": "309-268-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "SHRIER",
            "middle_name": "ELIZABETH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.