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KELLY ROTHERMAL NP
NPI 1033515655
Nurse Practitioner - Family in Tucson, AZ

Active since November 10, 2014PECOS EnrolledAccepts Medicare Assignment
101 W IRVINGTON RD STE 10, TUCSON, AZ 85714(520) 670-3909(520) 309-2560 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2025, Feb 19, 2025, Oct 26, 2022 (3 updates tracked since 2022).

About Kelly Rothermal Np NPPES

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

KELLY ROTHERMAL NP (NPI 1033515655) is an individual family provider in Tucson, Arizona, licensed in Arizona (TAP7403) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1033515655
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY ROTHERMALCredential: NP
Location Address101 W IRVINGTON RD STE 10Tucson, AZ 85714-3050
Mailing Address839 W Congress StTucson, AZ 85745-2819 · (520) 670-3909 · Fax (520) 309-2560
Phone(520) 670-3909
Fax(520) 309-2560
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 10, 2014
Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1033515655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · TAP7403
Also ListedRegistered NurseTaxonomy 163W00000X · License RN160419 (AZ)
101 W IRVINGTON RD STE 10, Tucson, AZ 85714
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

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 Rothermal Np 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 ID8426373945
PECOS Enrollment IDI20150204001121
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 85714 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Rothermal's NPI number?

The NPI number for Kelly Rothermal is 1033515655. It was assigned to this individual provider in the NPPES registry on November 10, 2014.

Where is Kelly Rothermal located?

Kelly Rothermal practices at 101 W Irvington Rd Ste 10, Tucson, AZ 85714. The listed phone number is (520) 670-3909.

What is Kelly Rothermal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Rothermal enrolled in Medicare?

Yes. Kelly Rothermal 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.

What insurance does Kelly Rothermal accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Kelly Rothermal 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 Kelly Rothermal was last updated on March 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.