KAILEY R KELLY PA
NPI 1033827175
Physician Assistant - Surgical in Chandler, AZ

Q: What is Kailey Kelly's NPI number?

The NPI number for Kailey Kelly is 1033827175. It was assigned to this individual provider in the NPPES registry on November 8, 2022. The provider is also known as Kailey Renee Green.

Q: What is Kailey Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kailey Kelly was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 08, 2022PECOS EnrolledAccepts Medicare Assignment

1955 W FRYE RD, CHANDLER, AZ 85224(480) 728-3000(480) 728-4747 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2025, Mar 15, 2023, Nov 8, 2022 (3 updates tracked since 2022).

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About Kailey R Kelly Pa NPPES

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

KAILEY R KELLY PA (NPI 1033827175) is an individual surgical provider in Chandler, Arizona, licensed in Arizona (11343) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and maintains a secondary practice location in Grants Pass.

NPPES Registry Identity

NPI1033827175

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKAILEY R KELLYCredential: PA

Location Address1955 W FRYE RDChandler, AZ 85224-6282

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(480) 728-3000

Fax(480) 728-4747

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 8, 2022

Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1033827175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in AZ · 11343

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA214290 (OR), 11343 (AZ)

1955 W FRYE RD, Chandler, AZ 85224

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Other Names 1

Former Name (1)Kailey Renee Green

Secondary Practice Location 1

Location 1500 SW Ramsey AvenueGrants Pass, OR 97527-5554 · Phone (541) 472-7000

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

Kailey R Kelly 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.

PECOS PAC ID1456726785

PECOS Enrollment IDI20251120001869

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 6

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 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.

83 services82 patients

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.

59 services58 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

47 services45 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

43 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380002

Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County

Emergency services Birthing friendly

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.

HANNAH ELIZABETH ALLEN CNIM

Specialist/Technologist, Other (Electroneurodiagnostic)