KELLY ANN DOTY PA
NPI 1003867474
Physician Assistant in Ridgecrest, CA
About Kelly Ann Doty Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANN DOTY PA (NPI 1003867474) is an individual physician assistant in Ridgecrest, California, licensed in Alaska (2319) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Ann Doty Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93555 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIDGECREST, CA 93555
RIDGECREST, CA 93555
RIDGECREST, CA 93555
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 Kelly Doty's NPI number?
The NPI number for Kelly Doty is 1003867474. It was assigned to this individual provider in the NPPES registry on May 12, 2006.
Where is Kelly Doty located?
Kelly Doty practices at 1111 N China Lake Blvd Ste 190, Ridgecrest, CA 93555. The listed phone number is (760) 499-3855.
What is Kelly Doty's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kelly Doty enrolled in Medicare?
Yes. Kelly Doty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kelly Doty was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kelly Ann Doty, PA · NPI 1003867474
Physician Assistant physician in Ridgecrest, California. Individual provider, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1003867474 (Entity type: Individual)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 2319 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 N CHINA LAKE BLVD STE 190, Ridgecrest, CA 93555-3131
- **Phone:** (760) 499-3855 · **Fax:** (760) 499-3870
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** May 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1003867474) · Data from the CMS NPPES public registry.