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

Kasey L Pontarelli, PA-C

Individual provider Physician Assistant · NPI 1912379462

Kasey L Pontarelli, PA-C is a Physician Assistant in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

324 Roxbury Rd
Rockford, IL 61107-5090
Phone: (815) 398-9491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.005706 (IL)

Record details

NPI number1912379462
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 23, 2015
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

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