KYRA RENE WITBECK PA-C
NPI 1104503192
Physician Assistant in Glendale, AZ

Q: What is Kyra Witbeck's NPI number?

The NPI number for Kyra Witbeck is 1104503192. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Q: What is Kyra Witbeck'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 Kyra Witbeck was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 30, 2023PECOS EnrolledAccepts Medicare Assignment

5859 W TALAVI BLVD STE 100, GLENDALE, AZ 85306(602) 298-7777(623) 930-6060 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kyra Rene Witbeck Pa-c NPPES

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

KYRA RENE WITBECK PA-C (NPI 1104503192) is an individual physician assistant in Glendale, Arizona and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104503192

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKYRA RENE WITBECKCredential: PA-C

Location Address5859 W TALAVI BLVD STE 100Glendale, AZ 85306-1870

Mailing Address5859 W Talavi Blvd Ste 100Glendale, AZ 85306-1870 · (602) 298-7777 · Fax (623) 930-6060

Phone(602) 298-7777

Fax(623) 930-6060

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 30, 2023

Last NPPES UpdateNovember 20, 2024

NPPES CertifiedNovember 20, 2024

✔ NPI 1104503192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

5859 W TALAVI BLVD STE 100, Glendale, AZ 85306

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11301 S Crismon RdMesa, AZ 85209-3767 · Phone (480) 358-6100

Location 21500 S Mill AveTempe, AZ 85281-6699 · Phone (480) 784-5500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, 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

Kyra Rene Witbeck 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 ID8729441936

PECOS Enrollment IDI20230905002786

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 85306 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 5

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

MRS. MARY P KAPLAN ANP

Nurse Practitioner (Acute Care)