Kelsey Elizabeth Grimes, DO - Medicare Pediatric Medicine in Peoria, IL

  1. Home
  2. Pediatrics
  3. IL
  4. Peoria
Kelsey Elizabeth Grimes, DO is a medicare enrolled "Pediatrics" physician in Peoria, Illinois. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2022 and has 3 years of diverse experience with area of expertise as Pediatric Medicine. Her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 655-2000.

Kelsey Elizabeth Grimes is licensed to practice in Illinois (license number 036173499) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1013647965.

Contact Information

Kelsey Elizabeth Grimes, DO
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
(309) 655-2000
Not Available

Map and Direction




Physician's Profile

Full NameKelsey Elizabeth Grimes
GenderFemale
SpecialityPediatric Medicine
Experience3 Years
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelsey Elizabeth Grimes attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2022
  NPI Data:
  • NPI Number: 1013647965
  • Provider Enumeration Date: 06/14/2022
  • Last Update Date: 04/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9436675436
  • Enrollment ID: I20250501002602

Medical Identifiers

Medical identifiers for Kelsey Elizabeth Grimes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013647965NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036173499 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelsey Elizabeth Grimes allows following entities to bill medicare on her behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Elizabeth Grimes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelsey Elizabeth Grimes, DO
2703 N Mission Rd,
Peoria, IL 61604-2343

Ph: (618) 320-1321		Kelsey Elizabeth Grimes, DO
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 655-2000

Reviews and Comments


Pediatrics Doctors in Peoria, IL

Thomas James Mcmorrow, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2553    Fax: 309-655-2602
Jessica Ford-davis, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2274    
Jessica N Mistretta, DO
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 8600 State Route 91 Ste 200, Peoria, IL 61615
Phone: 309-692-1030    Fax: 309-691-3241
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-624-3313    
Dr. Gretchen L Kopec, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-624-0615    
Dr. Patrick Joseph Rizzuto Iii, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-671-3000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.