Kellsie A Edgcomb, OT - Medicare Occupational Therapist in Utica, IL

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Kellsie A Edgcomb, OT is a medicare enrolled "Occupational Therapist" provider in Utica, Illinois. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. Her current practice location is 552 E Us Highway 52, Utica, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 915-9460.

Kellsie A Edgcomb is licensed to practice in Illinois (license number 056016950) 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 1376217216.

Contact Information

Kellsie A Edgcomb, OT
552 E Us Highway 52,
Utica, IL 61373-9766
(815) 915-9460
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKellsie A Edgcomb
GenderFemale
SpecialityOccupational Therapist In Private Practice
Experience1 Years
Location552 E Us Highway 52, Utica, 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:
  • Kellsie A Edgcomb graduated from medical school in 2025
  NPI Data:
  • NPI Number: 1376217216
  • Provider Enumeration Date: 08/04/2021
  • Last Update Date: 06/29/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5294299558
  • Enrollment ID: I20260708004077

Medical Identifiers

Medical identifiers for Kellsie A Edgcomb such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376217216NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 056016950 (Illinois)Primary
106S00000XBehavior Technician (* (Not Available))Secondary

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. Kellsie A Edgcomb 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
Kellsie A Edgcomb, OT
552 E Us Highway 52,
Utica, IL 61373-9766

Ph: Not Available		Kellsie A Edgcomb, OT
552 E Us Highway 52,
Utica, IL 61373-9766

Ph: (815) 915-9460

Reviews and Comments



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.