Kelli Marie Dix-Rosen

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2024000069 Issued in MO

Practice address

10279 Business 21
Hillsboro, MO 63050-3598

Phone

(636) 677-6200

NPI assigned

Nov 16, 2023

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

Enrolled in MO

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.

• Medwin Primary Care L.L.C.

  • Internal Medicine Physician
  • Arnold, MO
  • NPI 1376552067
  Medicare reassignment

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1578338828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 CARLTON DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630283806",
            "telephone_number": "636-208-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10279 BUSINESS 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630503598",
            "telephone_number": "636-677-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIX-ROSEN",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2024000069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta S Cyr, M.S., PLPC
• Patrick Dare, LPC
• David J Stansfield DO LLC
• Alyssa Marie Declue
• Alysen McKenna Dishner, LMSW
• Leah Dobrynski, FNP-C, MSN, RN
• Katie Ann Donahue, RN, IBCLC
• Sandra Drezek
• Stephanie Loraine Easter, OTR/L
• Rebecca Ehlich, MA, RDN, LD

• Physician Assistant in Hillsboro, MO
• Providers in Hillsboro, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.