KELLY DENISE MEDINA PA-C
NPI 1013587666
Physician Assistant in Moreno Valley, CA

Q: What is Kelly Medina's NPI number?

The NPI number for Kelly Medina is 1013587666. It was assigned to this individual provider in the NPPES registry on June 27, 2021. The provider is also known as Kelly Denise Schilling Pa-C.

Q: What is Kelly Medina's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Medina was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since June 27, 2021PECOS EnrolledAccepts Medicare Assignment

26520 CACTUS AVE, MORENO VALLEY, CA 92555(951) 486-4000 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, Jul 10, 2023, Jul 5, 2023 and 2 more (5 updates tracked since 2021).

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About Kelly Denise Medina Pa-c NPPES

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

KELLY DENISE MEDINA PA-C (NPI 1013587666) is an individual physician assistant in Moreno Valley, California, licensed in California (61659) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013587666

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLY DENISE MEDINACredential: PA-C

Location Address26520 CACTUS AVEMoreno Valley, CA 92555-3927

Mailing Address333 Murfreesboro PikeNashville, TN 37210-2834 · (615) 248-1225

Phone(951) 486-4000

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJune 27, 2021

Last NPPES UpdateFebruary 27, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1013587666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 61659

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

26520 CACTUS AVE, Moreno Valley, CA 92555

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Other Names 1

Former Name (1)Kelly Denise Schilling Pa-c

Secondary Practice Locations 2

Location 1285 Twin Oaks DrNashville, TN 37211-1140 · Phone (951) 567-3097

Location 2333 Murfreesboro PikeNashville, TN 37210-2834 · Phone (615) 248-1225

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 Denise Medina Pa-c 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.

PECOS PAC ID1254788961

PECOS Enrollment IDI20231116002156

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

28 services28 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92555 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

Other Providers at the Same Location NPPES 20

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

MARINA BOYARSKY M.D.

Student in an Organized Health Care Education/Training Program

26520 CACTUS AVE, FAMILY MEDICINE RESIDENCY PROGRAM
MORENO VALLEY, CA 92555

Riverside County (951) 486-5611

DR. THU KIEU NGUYEN HUYNH PHARM.D.

Pharmacist