Active NPI
Makailee Skylar Brown, PA
- Physician Assistant
- Galesburg, IL
National Provider Identifier
1376499426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.012123
- Practice address
- 4373 Evergreen Dr
Galesburg, IL 61401-9518 - Phone
- (309) 741-1061
- NPI assigned
- Mar 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.012123 | IL | MD | Physician Assistant |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.012123 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4373 Evergreen Dr
Galesburg, IL 61401-9518
Mailing address
4373 Evergreen Dr
Galesburg, IL 61401-9518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 9, 2026.
{
"created_epoch": "1773014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1376499426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4373 EVERGREEN DR",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614019518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4373 EVERGREEN DR",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614019518",
"telephone_number": "309-741-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MAKAILEE",
"middle_name": "SKYLAR",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-09",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.012123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.