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MR. KELLEN WILLIAM JOSEPH HOMER PA-C
NPI 1215312442
Physician Assistant - Medical in Yukon, OK

Active since July 29, 2015PECOS Enrolled
1201 HEALTH CENTER PKWY, YUKON, OK 73099(405) 717-6800 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kellen William Joseph Homer Pa-c NPPES

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

MR. KELLEN WILLIAM JOSEPH HOMER PA-C (NPI 1215312442) is an individual medical provider in Yukon, Oklahoma and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215312442
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KELLEN WILLIAM JOSEPH HOMERCredential: PA-C
Location Address1201 HEALTH CENTER PKWYYukon, OK 73099-6381
Mailing Address9005 Sw 38th TerOklahoma City, OK 73179-3813 · (740) 296-4763
Phone(405) 717-6800
Sole ProprietorNo
Enumeration DateJuly 29, 2015
✔ NPI 1215312442 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
1201 HEALTH CENTER PKWY, Yukon, OK 73099
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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)

Mr. Kellen William Joseph Homer 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services55 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services19 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services14 patients

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.

FABIAN GILBERT GALLEGOS MSN, APRN, AGACNP-BC
Hospitalist
1201 HEALTH CENTER PKWY
YUKON, OK 73099
Canadian County (888) 611-4429
DR. TARA FREEMAN CRNA
Nurse Anesthetist, Certified Registered
1201 HEALTH CENTER PKWY
YUKON, OK 73099
Canadian County (405) 717-6800
DAVID ANTHONY DAVIS PHARM.D.
Pharmacist (Pharmacotherapy)
1201 HEALTH CENTER PKWY
YUKON, OK 73099
Canadian County (405) 717-6814
MR. NICHOLAS W JENNINGS CRNA
Nurse Anesthetist, Certified Registered
1201 HEALTH CENTER PKWY
YUKON, OK 73099
Canadian County (405) 717-6800
SUMMER MEGLI PA
Physician Assistant
1201 HEALTH CENTER PKWY
YUKON, OK 73099
Canadian County (405) 717-6800
DUSTIN HAMM
Physical Therapist
1201 HEALTH CENTER PKWY
YUKON, OK 73099
Canadian County (405) 717-6979
COURTNEY RENEE WYLIE DO
Anesthesiology
1201 HEALTH CENTER PKWY
YUKON, OK 73099
Canadian County (405) 717-6800
KIMBERLY ANNE YATES DPT
Physical Therapist
1201 HEALTH CENTER PKWY
YUKON, OK 73099
Canadian County (405) 717-6979

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 Kellen Homer's NPI number?

The NPI number for Kellen Homer is 1215312442. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Where is Kellen Homer located?

Kellen Homer practices at 1201 Health Center Pkwy, Yukon, OK 73099. The listed phone number is (405) 717-6800.

What is Kellen Homer's specialty?

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

Is Kellen Homer enrolled in Medicare?

Yes. Kellen Homer is registered in the Medicare PECOS enrollment system.

What insurance does Kellen Homer accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Kellen Homer 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 Kellen Homer was last updated on July 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.