Colleen Canavan, PA
NPI 1205090644 · Physician Assistant · Jerseyville, IL
Colleen Canavan, PA is a Physician Assistant provider in Jerseyville, IL (NPI 1205090644).
Provider details
- NPI number
- 1205090644
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 085000651 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-15
- Last updated
- 2016-09-21
Frequently asked questions
- What is Colleen Canavan's NPI number?
- Colleen Canavan's National Provider Identifier (NPI) is 1205090644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Colleen Canavan's specialty?
- Colleen Canavan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Colleen Canavan located?
- Colleen Canavan's practice location on file with NPPES is 390 Maple Summit Rd, Jerseyville, IL 62052-2000.
- What is Colleen Canavan's phone number?
- The practice phone number listed in the NPPES registry for Colleen Canavan is (618) 498-2101.
- Is Colleen Canavan's NPI active?
- Yes — Colleen Canavan's NPI (1205090644) is active in the NPPES registry as of the last update on 2016-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.