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

Mr. Keith E. Ballinger, PAC

Individual provider Physician Assistant · NPI 1114934759

Mr. Keith E. Ballinger, PAC is a Physician Assistant in Mattoon, Illinois. Qualified in 2002, 24 years ago. Practices with Sarah Bush Lincoln Health Center, a 410-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
24
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Health Center Dr Ste 305
Mattoon, IL 61938-4644
Phone: (217) 258-4186
Fax: (217) 348-4185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 085001872 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085001872 (IL)

Record details

NPI number1114934759
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024
Mailing addressPo Box 372, Mattoon, IL 61938-0372

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Sarah Bush Lincoln Health Center — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mattoon