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MRS. KELLY MARIE PESIS PA
NPI 1114073939
Physician Assistant in Fort Knox, KY

Active since January 26, 2007PECOS Enrolled
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121(502) 624-9007(502) 624-0252 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelly Marie Pesis Pa NPPES

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

MRS. KELLY MARIE PESIS PA (NPI 1114073939) is an individual physician assistant in Fort Knox, Kentucky, licensed in Kentucky (PA718) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114073939
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KELLY MARIE PESISCredential: PA
Location Address289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITALFort Knox, KY 40121-5111
Mailing Address289 Ireland Ave, Ireland Army Community HospitalFort Knox, KY 40121-5111 · (502) 624-9007 · Fax (502) 624-0252
Phone(502) 624-9007
Fax(502) 624-0252
Sole ProprietorYes
Enumeration DateJanuary 26, 2007
Last NPPES UpdateNovember 18, 2014
✔ NPI 1114073939 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 KY · PA718
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.
289 IRELAND AVE, Fort Knox, KY 40121
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Marie Pesis Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 40121 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

DR. DEBRA LAVONNE KIRKSEY MFTA
Marriage & Family Therapist
289 IRELAND AVE
FORT KNOX, KY 40121
Hardin County (502) 624-9942
MRS. DANA ONA JENKINSON APRN, NP-C
Nurse Practitioner (Family)
289 IRELAND AVE
FORT KNOX, KY 40121
Hardin County (502) 624-9414
ANDRAYA CLARK PHARMD
Pharmacist
289 IRELAND AVE
FORT KNOX, KY 40121
Hardin County (502) 624-9222
DR. VANESSA JANE SHANK M.D.
General Practice
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL
FORT KNOX, KY 40121
Hardin County (502) 624-9864
MR. SCOTT RICHARD GREGG PT
Physical Therapist
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL
FORT KNOX, KY 40121
Hardin County (502) 624-9851
MS. ASHLEY ANNE ADAMS PHARMD,MSPT
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
289 IRELAND AVE
FORT KNOX, KY 40121
Hardin County (502) 624-6290
MRS. KATHLEEN W ROBBINS ARNP
Nurse Practitioner (Women's Health)
289 IRELAND AVE
FORT KNOX, KY 40121
Hardin County (502) 624-0528
CHRISTINE ASHMAN
Speech-Language Pathologist
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL
FORT KNOX, KY 40121
Hardin County (502) 624-9552

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 Pesis's NPI number?

The NPI number for Kelly Pesis is 1114073939. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Kelly Pesis located?

Kelly Pesis practices at 289 Ireland Ave Ireland Army Community Hospital, Fort Knox, KY 40121. The listed phone number is (502) 624-9007.

What is Kelly Pesis's specialty?

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

Is Kelly Pesis enrolled in Medicare?

Yes. Kelly Pesis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Pesis was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.