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KELLY ELIZABETH GRAVER PATE PA-C
NPI 1184633935
Physician Assistant - Medical in Jackson, CA

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
9279 LOCUST ST., JACKSON, CA 95669(209) 245-6968(209) 245-5135 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Elizabeth Graver Pate Pa-c NPPES

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

KELLY ELIZABETH GRAVER PATE PA-C (NPI 1184633935) is an individual medical provider in Jackson, California, licensed in California (PA18164) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1184633935
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY ELIZABETH GRAVER PATECredential: PA-C
Location Address9279 LOCUST ST.Jackson, CA 95669
Mailing Address10470 Old Placerville Rd Ste 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(209) 245-6968
Fax(209) 245-5135
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 7, 2006
Last NPPES UpdateFebruary 21, 2019
✔ NPI 1184633935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA18164
9279 LOCUST ST., Jackson, CA 95669
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Other Names 1

Former Name (1)Kelly Elizabeth Graves

Other Identifiers 1

OtherGR0078351CA · Medical

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 Elizabeth Graver Pate 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 ID9931140373
PECOS Enrollment IDI20110617000067
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers27 claims70 services$6.24 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers17 claims17 services$57.02 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers11 claims11 services$21.25 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers22 claims104 services$2.33 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier35 claims35 services$20.68 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers21 claims21 services$14.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Pate's NPI number?

The NPI number for Kelly Pate is 1184633935. It was assigned to this individual provider in the NPPES registry on August 7, 2006. The provider is also known as Kelly Elizabeth Graves.

Where is Kelly Pate located?

Kelly Pate practices at 9279 Locust St., Jackson, CA 95669. The listed phone number is (209) 245-6968.

What is Kelly Pate's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Pate enrolled in Medicare?

Yes. Kelly Pate 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.

When was this NPI record last updated?

The NPPES record for Kelly Pate was last updated on February 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.