Elite Professional Providers, LLC
NPI 1891488433 · Family Medicine Physician · Springfield, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Professional Providers, LLC is a Family Medicine Physician organization in Springfield, MO (NPI 1891488433).
Provider details
- NPI number
- 1891488433
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shawn Kelley, Coo(417) 220-4482
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
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
3 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
- 2023-05-30
- Last updated
- 2024-01-22
- Certified
- 2024-01-22
Frequently asked questions
- What is Elite Professional Providers, LLC's NPI number?
- Elite Professional Providers, LLC's National Provider Identifier (NPI) is 1891488433, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Professional Providers, LLC?
- Elite Professional Providers, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Elite Professional Providers, LLC located?
- Elite Professional Providers, LLC's practice location on file with NPPES is 3322 S Campbell Ave Ste T-1, Springfield, MO 65807-4980.
- What is Elite Professional Providers, LLC's phone number?
- The practice phone number listed in the NPPES registry for Elite Professional Providers, LLC is (417) 220-4482.
- Does Elite Professional Providers, LLC accept Medicare?
- Elite Professional Providers, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elite Professional Providers, LLC?
- The authorized official listed on Elite Professional Providers, LLC's NPPES record is Shawn Kelley, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Professional Providers, LLC's NPI active?
- Yes — Elite Professional Providers, LLC's NPI (1891488433) is active in the NPPES registry as of the last update on 2024-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.