Individual provider Active NPI

Rece Portell, PA

  • Physician Assistant
  • O'Fallon, IL
National Provider Identifier
1841081379
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085011599 Issued in IL
Practice address
3 Saint Elizabeth Blvd Ste 1800
O Fallon, IL 62269-1281
Phone
(618) 233-6044
NPI assigned
May 14, 2025
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085011599 IL Primary

Addresses

Primary practice location

3 Saint Elizabeth Blvd Ste 1800
O Fallon, IL 62269-1281

Mailing address

3 Saint Elizabeth Blvd Ste 1800
O Fallon, IL 62269-1281
Phone (618) 233-6044

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rportell363182@ewd.direct.hshs.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250915002365 IL Practitioner - Physician Assistant 1850894783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Southern Illinois University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

3 Saint Elizabeth Blvd
Suite 2800
O Fallon, IL 62269-1099
Phone (618) 233-6044

619 E Mason St
Springfield, IL 62701-1034
Phone (217) 788-0706

9515 Holy Cross LN
Breese, IL 62230-3618
Phone (618) 526-5452

Hospital & facility affiliations

National Provider Directory

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

Organizations & group practices 1

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 1

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": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1841081379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SAINT ELIZABETH BLVD STE 1800",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691281",
            "telephone_number": "618-233-6044",
            "fax_number": "618-233-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAINT ELIZABETH BLVD STE 1800",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691281",
            "telephone_number": "618-233-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTELL",
        "first_name": "RECE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085011599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rportell363182@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3 Saint Elizabeth Blvd Ste 1800",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622691281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

Verify at the official NPI Registry.