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

Individual provider Physician Assistant · NPI 1194014498

Kellie Janssen, PA-C is a Physician Assistant in Naperville, Illinois. Qualified in 2008, 18 years ago. Practices with Advanced Ear Nose and Throat Specialists PLLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
18
Licensed in
IL
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1739 Freedom Dr Ste 101
Naperville, IL 60563-3565
Phone: (888) 938-3838
Fax: (888) 919-1083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2060 E Algonquin Rd Ste 720, Schaumburg, IL 60173-4182 — (888) 938-3838

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085003980 (IL)

Record details

NPI number1194014498
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 7, 2011
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing address10001 W Innovation Dr Ste 200, Milwaukee, WI 53226-4851

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Advanced Ear Nose And Throat Specialists Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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