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KELLI A WARGO PA-C
NPI 1164633566
Physician Assistant in Philadelphia, PA

Active since May 25, 2007PECOS Enrolled
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107(215) 955-7000 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelli A Wargo Pa-c NPPES

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

KELLI A WARGO PA-C (NPI 1164633566) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA052944) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1164633566
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLI A WARGOCredential: PA-C
Location Address909 WALNUT ST, 2ND FLOORPhiladelphia, PA 19107
Mailing Address501 E 74th St Apt 7bNew York, NY 10021-3698
Phone(215) 955-7000
Sole ProprietorNo
Enumeration DateMay 25, 2007
Last NPPES UpdateAugust 2, 2018
✔ NPI 1164633566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in PA · MA052944✔ Licensed in NJ · MA052944✔ Licensed in NY · 011507-1
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.
909 WALNUT ST, Philadelphia, PA 19107
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Secondary Practice Location 1

Location 1909 Walnut St, 2nd FloorPhiladelphia, PA 19107-5211 · Phone (215) 955-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli A Wargo 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 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

ERICA GOULSTON CRNP
Nurse Practitioner (Acute Care)
909 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7000
MIJAIL D. SERRUYA MD
Psychiatry & Neurology (Neurology)
909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1234
DR. TIMOTHY MICHAEL AMBROSE M.D.
Psychiatry & Neurology (Neurology)
909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1234
LAUREN MALINOWSKI-FALK
Nurse Practitioner (Acute Care)
909 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-7008
DR. JAY LANCE D GUEVARRA DDS
Student in an Organized Health Care Education/Training Program
909 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6215
THOMAS JEFFERSON UNIVERSITY HOSPITAL
Clinic/Center (Dental)
909 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6215
CHRISTIAN HOELSCHER
Neurological Surgery
909 WALNUT ST, 3RD FLOOR, NEUROSURGERY
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7000
DR. BABAR BASHIR M.D.
Internal Medicine (Medical Oncology)
909 WALNUT ST, 2ND FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7000

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 Kelli Wargo's NPI number?

The NPI number for Kelli Wargo is 1164633566. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Kelli Wargo located?

Kelli Wargo practices at 909 Walnut St 2nd Floor, Philadelphia, PA 19107. The listed phone number is (215) 955-7000.

What is Kelli Wargo's specialty?

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

Is Kelli Wargo enrolled in Medicare?

Yes. Kelli Wargo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelli Wargo was last updated on August 2, 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.