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KELLEY MAMEDE PA
NPI 1003456286
Physician Assistant in Marion, OH

Active since January 15, 2020PECOS Enrolled
402 S STATE ST, MARION, OH 43302(740) 387-0650 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2022, Jan 15, 2020 (2 updates tracked since 2020).

About Kelley Mamede Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY MAMEDE PA (NPI 1003456286) is an individual physician assistant in Marion, Ohio and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003456286
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLEY MAMEDECredential: PA
Location Address402 S STATE STMarion, OH 43302-5000
Mailing Address70 Bur Reed RdDelaware, OH 43015-3676 · (330) 620-9432
Phone(740) 387-0650
Sole ProprietorNo
Enumeration DateJanuary 15, 2020
Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
✔ NPI 1003456286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
402 S STATE ST, Marion, OH 43302
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Mamede Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers16 claims33 services$5.80 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier29 claims29 services$115.46 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$38.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KAREN PAULEY PA-C
Physician Assistant (Medical)
402 S STATE ST
MARION, OH 43302
Marion County (740) 387-4115
SUDESH S REDDY MD INC
Internal Medicine
402 S STATE ST
MARION, OH 43302
Marion County (740) 387-0650
SUDESH S REDDY MD INC
Internal Medicine
402 S STATE ST
MARION, OH 43302
Marion County (740) 387-0650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Mamede's NPI number?

The NPI number for Kelley Mamede is 1003456286. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Kelley Mamede located?

Kelley Mamede practices at 402 S State St, Marion, OH 43302. The listed phone number is (740) 387-0650.

What is Kelley Mamede's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelley Mamede enrolled in Medicare?

Yes. Kelley Mamede is registered in the Medicare PECOS enrollment system.

What insurance does Kelley Mamede accept?

Health plans from MedMutual list Kelley Mamede as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelley Mamede was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.