Doctor profile · Federal record

Dr. Kelsey Wickenhauser, PA

Physician Assistant · Physician Assistant · Godfrey, IL

  • NPI 1972849321
  • Accepts Medicare
  • 14 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1368 Dadrian Professional Park
Godfrey, IL 620351685
(309) 530-9841
Mailing address
8416 Gannon Ave
Saint Louis, MO 631324907

Credentials & registration

NPPES · NUCC
NPI registered
December 2012 — 14 yrs on file
Profile last updated
May 13, 2014
Year of graduation
2012 — 14 yrs since
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Illinois #085 005 018 · Missouri #2012037422

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1972849321. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
17
Distinct HCPCS
1
Medicare allowed
$1,216
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 17 17 $72

In context: peer comparison

Among 3 peers in Godfrey Physician Assistant, average services per provider: 61. This provider delivers 0.3× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Kelsey Wickenhauser's medical specialty?
Dr. Kelsey Wickenhauser practices Physician Assistant in Godfrey, IL.
Where does Dr. Kelsey Wickenhauser practice?
Dr. Kelsey Wickenhauser practices at 1368 Dadrian Professional Park, Godfrey, IL 620351685. Office phone: 3095309841.
What is Dr. Kelsey Wickenhauser's NPI?
Dr. Kelsey Wickenhauser's National Provider Identifier (NPI) is 1972849321, issued by NPPES.
Does Dr. Kelsey Wickenhauser accept Medicare assignment?
Yes. Dr. Kelsey Wickenhauser accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelsey Wickenhauser commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.