Colline N Gusse, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1107 S Division Ave
KSB Medical Group
Ashton, IL 61006-0247

Phone

(815) 453-1212

Fax

(815) 453-2823

NPI assigned

Jan 27, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• KSB Medical Group, Inc.

  • Family Medicine Physician
  • Dixon, IL
  • NPI 1073592119
  NPD (past)
• KSB Medical Group, Inc.

  dba KSB Optical

  • Eyewear Supplier
  • Dixon, IL
  • NPI 1306814603
  NPD (past)
• Ortho Rehab Specialists PLLC

  • Physical Therapist
  • Rockford, IL
  • NPI 1891330882
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295706505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "address_2": "KSB MEDICAL GROUP",
            "city": "ASHTON",
            "state": "IL",
            "postal_code": "610060247",
            "telephone_number": "815-453-1212",
            "fax_number": "815-453-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S DIVISION AVE",
            "address_2": "KSB MEDICAL GROUP",
            "city": "ASHTON",
            "state": "IL",
            "postal_code": "610060247",
            "telephone_number": "815-453-1212",
            "fax_number": "815-453-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSSE",
        "first_name": "COLLINE",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Fire Protection District
• Ashton Franklin Ctr Cusd 275
• Melanie R Clark
• Kreider Services Inc
• Kreider Services, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.