TAMMY BOYETTE KELLY PA-C
NPI 1215267349
Physician Assistant - Medical in La Mesa, CA

Active since January 13, 2010PECOS EnrolledAccepts Medicare Assignment
7051 ALVARADO RD, LA MESA, CA 91942(619) 460-7775 Get Directions Write a Review

NPPES record last updated: October 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tammy Boyette Kelly Pa-c NPPES

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

TAMMY BOYETTE KELLY PA-C (NPI 1215267349) is an individual medical provider in La Mesa, California, licensed in California (PA54682) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Harrison Medical Center, and maintains a secondary practice location in National City.

NPPES Registry Identity

NPI1215267349
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTAMMY BOYETTE KELLYCredential: PA-C
Location Address7051 ALVARADO RDLa Mesa, CA 91942-8901
Mailing Address7051 Alvarado RdLa Mesa, CA 91942-8901 · (619) 460-7775
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 13, 2010
Last NPPES UpdateOctober 26, 2018
NPI 1215267349 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
Licenses Licensed in CA · PA54682 Licensed in NC · 0010-02138 Licensed in FL · PA9107316 Licensed in VA · 0110003655
7051 ALVARADO RD, La Mesa, CA 91942

Other Names 1

Former Name (1)Tammy Raye Boyette Pa-c

Secondary Practice Location 1

Location 1222 E Plaza BlvdNational City, CA 91950-3342 · Phone (619) 474-8989

Other Identifiers 3

Other1215267349Tricare/healthnet
OtherY0J7GFL · Bcbs Of Fl
Medicaid009498400FL

Accepted 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

Tammy Boyette Kelly 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 ID9739354309
PECOS Enrollment IDI20220727001585
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500039
Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County
Emergency services Birthing friendly

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.

Family Medicine
7051 ALVARADO RD, 201
LA MESA, CA 91942
Nurse Practitioner (Family)
7051 ALVARADO RD
LA MESA, CA 91942
Internal Medicine
7051 ALVARADO RD
LA MESA, CA 91942
Family Medicine
7051 ALVARADO RD
LA MESA, CA 91942
Point of Service
7051 ALVARADO RD, SUITE 101
LA MESA, CA 91942

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 Tammy Kelly's NPI number?

The NPI number for Tammy Kelly is 1215267349. It was assigned to this individual provider in the NPPES registry on January 13, 2010. The provider is also known as Tammy Raye Boyette Pa-C.

Where is Tammy Kelly located?

Tammy Kelly practices at 7051 Alvarado Rd, La Mesa, CA 91942. The listed phone number is (619) 460-7775.

What is Tammy Kelly's specialty?

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

Is Tammy Kelly enrolled in Medicare?

Yes. Tammy Kelly 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.

What insurance does Tammy Kelly accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tammy Kelly 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.

Is Tammy Kelly affiliated with any hospitals?

According to CMS data, Tammy Kelly is affiliated with Harrison Medical Center.

When was this NPI record last updated?

The NPPES record for Tammy Kelly was last updated on October 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.