NPIMap

Individual provider Active NPI

Kelly Jean Lyons, PA-C

  • Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1659754323
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005855 Issued in IL
Practice address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone
(414) 805-3000
NPI assigned
Jun 30, 2015
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085005855 IL Primary
Physician Assistant 363A00000X 3582-23 WI

Addresses

Primary practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Mailing address

13420 Arlington LN
Orland Park, IL 60462-1393
Phone (708) 710-0979

Other practice location 1

800 Biesterfield Rd Ste 705B
Elk Grove Village, IL 60007-3361
Phone (224) 273-7550

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address klyons287610@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160729001058 IL Practitioner - Physician Assistant 1759695273 Reassigns benefits to 3 organizations
I20251129000473 IN Practitioner - Physician Assistant 1759695273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular and Interventional Professionals, LLCGroup PAC ID 2365758224, 31 clinicians
Uropartners LLCGroup PAC ID 9436182946, 133 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

1425 N Randall Rd
Elgin, IL 60123-2300
Phone (847) 742-9800

1435 N Randall Rd
Suite 410
Elgin, IL 60123-2305
Phone (224) 783-8478

2225 Enterprise Dr
Suite 2511
Westchester, IL 60154-5805
Phone (708) 486-0076

2235 Enterprise Dr
Suite 3510
Westchester, IL 60154-5806
Phone (847) 957-4670

2320 E 93Rd St
Chicago, IL 60617-3909
Phone (773) 967-2000

400 W 84TH Dr
Merrillville, IN 46410-6248
Phone (847) 957-4670

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 312-5000

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-9000

701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone (630) 545-8000

911 N Elm St
Hinsdale, IL 60521-3640
Phone (630) 856-7460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Uropartners LLC Physician Assistant CurrentSince Dec 1, 2025 Accepting new patients
Uropartners, LLC CurrentSince Sep 1, 2024 Accepting new patients
Uropartners, LLC CurrentSince Sep 1, 2024 Accepting new patients
Uropartners, LLC Physician Assistant Past Accepting new patients

Locations

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

1660 Feehanville Dr
Ste 190
Mt Prospect, IL 60056
Phone (847) 916-0606

2225 Enterprise Dr
Ste 2511
Westchester, IL 60154
Phone (708) 486-0076

400 W 84th Dr
Merrillville, IN 46410
Phone (219) 736-1255

Interoperability endpoints

  • Direct secure messaging: kellylyons@uropart.allscriptsdirect.net
  • Direct secure messaging: klyons287610@direct.myadvocateaurora.org

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1659754323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 ARLINGTON LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621393",
            "telephone_number": "708-710-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Biesterfield Rd Ste 705B",
            "address_purpose": "LOCATION",
            "city": "Elk Grove Village",
            "state": "IL",
            "postal_code": "600073361",
            "country_code": "US",
            "telephone_number": "224-273-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005855",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3582-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klyons287610@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "Advocate",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1425 N Randall Rd",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601232300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "Advocate",
            "address_1": "1425 N Randall Rd",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601232300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.