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Kelsey Wickenhauser, PA

Physician Assistant in Godfrey, IL · enumerated 2012 · practices at Optimal Health Medicine LLC.

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

National Provider Identifier

1972849321

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Registry record

Entity type Individual (Type 1)
Name Kelsey Wickenhauser
Credential PA
Sex Female
Practice address 1368 Dadrian Professional Park, Godfrey, IL, 62035
Phone (309) 530-9841
Enumeration date Dec 12, 2012
Last updated in NPPES May 13, 2014

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2012037422 (MO) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085 005 018 (IL) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

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.

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Frequently asked questions

Where does Kelsey Wickenhauser practice?
The practice location on file with NPPES is in Godfrey, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kelsey Wickenhauser?
The National Provider Identifier (NPI) for Kelsey Wickenhauser is 1972849321, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-13.