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KELLY JO PAULSON PA-C
NPI 1114271152
Physician Assistant in Glendale, AZ

Active since October 29, 2012PECOS Enrolled
5310 W THUNDERBIRD RD, SUITE 301, GLENDALE, AZ 85306(602) 865-4011(602) 412-7475 Get Directions Write a Review

NPPES record last updated: October 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Jo Paulson Pa-c NPPES

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

KELLY JO PAULSON PA-C (NPI 1114271152) is an individual physician assistant in Glendale, Arizona, licensed in Arizona (5291) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114271152
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY JO PAULSONCredential: PA-C
Location Address5310 W THUNDERBIRD RD, SUITE 301Glendale, AZ 85306-4706
Mailing Address5310 W Thunderbird Rd, Suite 301Glendale, AZ 85306-4706 · (602) 865-4011 · Fax (602) 412-7475
Phone(602) 865-4011
Fax(602) 412-7475
Sole ProprietorNo
Enumeration DateOctober 29, 2012
✔ NPI 1114271152 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 · 5291
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.
5310 W THUNDERBIRD RD, Glendale, AZ 85306
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Jo Paulson Pa-c 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 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 20

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

JOSEPH S JANIK MD
Surgery (Pediatric Surgery)
5310 W THUNDERBIRD RD, SUITE 110
GLENDALE, AZ 85306
Maricopa County (602) 865-4065
DR. NOOMAN GILANI M.D
Internal Medicine (Gastroenterology)
5310 W THUNDERBIRD RD, SUITE 102
GLENDALE, AZ 85306
Maricopa County (602) 343-6233
JANINA CARTER AU.D.
Audiologist-Hearing Aid Fitter
5310 W THUNDERBIRD RD
GLENDALE, AZ 85306
Maricopa County (602) 865-4461
DESERT VALLEY WELLNESS, PLC
Family Medicine
5310 W THUNDERBIRD RD, SUITE 203
GLENDALE, AZ 85306
Maricopa County (602) 548-6500
LOUIS PAK-SHUN VU M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
5310 W THUNDERBIRD RD, SUITE 110
GLENDALE, AZ 85306
Maricopa County (602) 865-4510
BEN-ORA, HANSEN & VANESIAN IMAGING
Clinic/Center (Radiology, Mammography)
5310 W THUNDERBIRD RD, #213
GLENDALE, AZ 85306
Maricopa County (602) 439-1472
NILKANTH B RANADE M.D.
Surgery
5310 W THUNDERBIRD RD, SUITE 200
GLENDALE, AZ 85306
Maricopa County (602) 439-6700
GLENDALE WEIGHTLOSS LLC
Family Medicine (Obesity Medicine)
5310 W THUNDERBIRD RD, STE 308
GLENDALE, AZ 85306
Maricopa County (623) 825-7931

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 Paulson's NPI number?

The NPI number for Kelly Paulson is 1114271152. It was assigned to this individual provider in the NPPES registry on October 29, 2012.

Where is Kelly Paulson located?

Kelly Paulson practices at 5310 W Thunderbird Rd Suite 301, Glendale, AZ 85306. The listed phone number is (602) 865-4011.

What is Kelly Paulson's specialty?

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

Is Kelly Paulson enrolled in Medicare?

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

What insurance does Kelly Paulson accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Kelly Paulson 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 Paulson was last updated on October 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.