Kelsey Allen, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Springfield, IL
NPI 1639845720 · NPPES record last updated Jun 26, 2025
Key facts
- NPI
- 1639845720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 125.086752 (IL)
- Practice address
- 415 N 9TH St
Springfield, IL 62702-5303 - Phone
- (217) 545-8000
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250815002617 | IL | Order and Referring Only - Obstetrics/Gynecology |
4587163654 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 125.086752 | IL | Yes |
Addresses
Primary practice location
415 N 9TH St
Springfield, IL 62702-5303
Mailing address
PO Box 19640
Springfield, IL 62794-9640
Phone (217) 545-8000
NPI Registry JSON
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1639845720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19640",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949640",
"telephone_number": "217-545-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N 9TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025303",
"telephone_number": "217-545-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KELSEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "125.086752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
- Swapna Reddy Allamreddy
- D Gordon Allan
- Abby Allen
- Daryl Matthew Allen
- Eric Allen
- Nicholas John Allen
- Reed Allen
- Stanley Eric Allen
- Susan K Allen
- Michael John Almeida
All providers in Springfield, IL · Obstetrics & Gynecology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.