MRS. KELLY MARIE KING P.A.
NPI 1235327883
Physician Assistant - Medical in Tigard, OR
About Mrs. Kelly Marie King P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY MARIE KING P.A. (NPI 1235327883) is an individual medical provider in Tigard, Oregon, licensed in Oregon (LL17410) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Kelly Marie King P.a. 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.
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 King's NPI number?
The NPI number for Kelly King is 1235327883. It was assigned to this individual provider in the NPPES registry on October 9, 2007.
Where is Kelly King located?
Kelly King practices at 13013 SW Caddy Pl, Tigard, OR 97223. The listed phone number is (503) 766-3263.
What is Kelly King's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kelly King enrolled in Medicare?
Yes. Kelly King 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 Kelly King accept?
Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelly King 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 King was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Kelly Marie King, P.A. · NPI 1235327883
Medical physician in Tigard, Oregon. Individual provider, active in the CMS NPPES registry since October 9, 2007.
## Identity
- **NPI:** 1235327883 (Entity type: Individual)
- **Enumerated:** October 9, 2007
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** LL17410 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13013 SW CADDY PL, Tigard, OR 97223-2892
- **Phone:** (503) 766-3263
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** October 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1235327883) · Data from the CMS NPPES public registry.