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KELLY MARIE PARKER PA-C
NPI 1093795064
Physician Assistant in Phoenix, AZ

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
1920 E CAMBRIDGE AVE STE 302, PHOENIX, AZ 85006(602) 933-5200(602) 933-4272 Get Directions Write a Review

NPPES record last updated: January 26, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Marie Parker Pa-c NPPES

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

KELLY MARIE PARKER PA-C (NPI 1093795064) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (1882) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1093795064
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY MARIE PARKERCredential: PA-C
Location Address1920 E CAMBRIDGE AVE STE 302Phoenix, AZ 85006-1464
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814 · Fax (602) 933-1820
Phone(602) 933-5200
Fax(602) 933-4272
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJanuary 26, 2018
✔ NPI 1093795064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 1882
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.
1920 E CAMBRIDGE AVE STE 302, Phoenix, AZ 85006
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Other Names 1

Former Name (1)Kelly Marie Matthews Pa-c

Other Identifiers 1

Medicaid317281-04AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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 Marie Parker 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 ID8224299409
PECOS Enrollment IDI20120416000290
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 85006 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
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 3

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

MICHAEL THANH NGUYEN M.D.
Urology (Pediatric Urology)
1920 E CAMBRIDGE AVE STE 302
PHOENIX, AZ 85006
Maricopa County (602) 933-5200
CARLOS ALFONSO VILLANUEVA DEL RIO M.D.
Urology (Pediatric Urology)
1920 E CAMBRIDGE AVE STE 302
PHOENIX, AZ 85006
Maricopa County (602) 933-5200
MARILYN LEE PALEN PA-C
Physician Assistant
1920 E CAMBRIDGE AVE STE 302
PHOENIX, AZ 85006
Maricopa County (602) 933-5200

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 Parker's NPI number?

The NPI number for Kelly Parker is 1093795064. It was assigned to this individual provider in the NPPES registry on January 18, 2006. The provider is also known as Kelly Marie Matthews Pa-C.

Where is Kelly Parker located?

Kelly Parker practices at 1920 E Cambridge Ave Ste 302, Phoenix, AZ 85006. The listed phone number is (602) 933-5200.

What is Kelly Parker's specialty?

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

Is Kelly Parker enrolled in Medicare?

Yes. Kelly Parker 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 Parker accept?

Health plans from Blue Cross Blue Shield of Arizona list Kelly Parker 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 Parker was last updated on January 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.