Active NPI
Kaitlin Samantha Brown, PA-C
- Physician Assistant
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.009332
- Practice address
- 1301 S Koke Mill Rd
Springfield, IL 62711-9252 - Phone
- (217) 547-9100
- Fax
- (217) 547-9236
- NPI assigned
- Jan 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.009332 | IL | Primary |
Addresses
Primary practice location
1301 S Koke Mill Rd
Springfield, IL 62711-9252
Mailing address
1301 S Koke Mill Rd
Springfield, IL 62711-9252
Phone (217) 547-9100
Other practice location 1
800 E Carpenter St
Springfield, IL 62769-1000
Phone (217) 544-6464
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 S Koke Mill Rd
Springfield, IL 62711-9252
Phone (217) 547-9100
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.009332 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Current | Accepting new patients | |
| Orthopaedic Center of Il | Current | Accepting new patients | |
| Orthopaedic Center of Illinois | Past | Accepting new patients |
Locations
1750 E Lake Shore Dr
Ste 200
Decatur, IL 62521
Phone (217) 422-2500
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
1301 S Koke Mill Rd
Springfield, IL 62711
Phone (217) 547-9100
301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003
Interoperability endpoints
- kaitlinbrown@oci.allscriptsdirect.net
- kaitlin.brown.1@28977.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Springfield, IL
- NPI 1154300572
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1144372798
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carlinville, IL
- NPI 1053425124
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1548974686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 S KOKE MILL RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627119252",
"telephone_number": "217-547-9100",
"fax_number": "217-547-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S KOKE MILL RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627119252",
"telephone_number": "217-547-9100",
"fax_number": "217-547-9236"
}
],
"practiceLocations": [
{
"address_1": "800 E Carpenter St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627691000",
"country_code": "US",
"telephone_number": "217-544-6464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "KAITLIN",
"middle_name": "SAMANTHA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-12",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.009332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.