Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elite Professional Providers, LLC

Organization Family Medicine Physician · NPI 1891488433

Elite Professional Providers, LLC is a Family Medicine Physician in Springfield, Missouri. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3322 S Campbell Ave Ste T-1
Springfield, MO 65807-4980
Phone: (417) 220-4482
Fax: (417) 414-0017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1655 S Enterprise Ave Ste A3, Springfield, MO 65804-1864 — (417) 220-4480

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1891488433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Kelley — Coo · (417) 220-4482
NPI enumeratedMay 30, 2023
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address2135 E Independence St # 1093, Springfield, MO 65804-3749

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