NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Keely E Pedersen, PA-C

Physician Assistant in Lake Forest, IL · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619228624

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Keely E Pedersen
Credential PA-C
Sex Female
Practice address 1000 N Westmoreland Rd, Lake Forest, IL, 60045
Phone (847) 535-6150
Fax (847) 535-7801
Enumeration date Oct 1, 2012
Last updated in NPPES Nov 11, 2024

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085004520 (IL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Keely Pedersen?
The National Provider Identifier (NPI) for Keely Pedersen is 1619228624, a Type 1 (individual) record in the CMS NPPES registry.
Where does Keely Pedersen practice?
The practice location on file with NPPES is in Lake Forest, IL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-11.