Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Elite Professional Providers, LLC

Family Medicine Physician in Springfield, MO · enumerated 2023 · authorized official Shawn Kelley, Coo.

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

National Provider Identifier

1891488433

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Registry record

Entity type Organization (Type 2)

Legal business name Elite Professional Providers, LLC

Practice address 3322 S Campbell Ave Ste T-1, Springfield, MO, 65807

Phone (417) 220-4482

Fax (417) 414-0017

Enumeration date May 30, 2023

Last updated in NPPES Jul 7, 2026

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Shawn Kelley

Title Coo

Phone (417) 220-4482

Other identifiers

Identifier	Type	State	Issuer
500128969	Medicaid	MO	-

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 type of organization is Elite Professional Providers, LLC?

Elite Professional Providers, LLC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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