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

Individual provider Physician Assistant · NPI 1962973982

Kelsey Elyse Koenig, PA-C is a Physician Assistant in O Fallon, Illinois. Graduated from Southern Illinois University School of Medicine in 2018, 8 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
8
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2018
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

310 N 7 Hills Rd Ste 220
O Fallon, IL 62269-4111
Phone: (618) 624-6181
Fax: (618) 624-7172
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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 085006906 (IL)

Record details

NPI number1962973982
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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