KELLY M DENNIS PA-C
NPI 1386770246
Physician Assistant - Medical in Oklahoma City, OK

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
4140 W MEMORIAL RD STE 208, OKLAHOMA CITY, OK 73120(405) 749-7004(405) 752-3457 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 23, 2026, Jun 26, 2017, Sep 20, 2016 (3 updates tracked since 2016).

About Kelly M Dennis Pa-c NPPES

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

KELLY M DENNIS PA-C (NPI 1386770246) is an individual medical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (1406) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1386770246
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY M DENNISCredential: PA-C
Location Address4140 W MEMORIAL RD STE 208Oklahoma City, OK 73120-8300
Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (405) 242-4030 · Fax (405) 242-4031
Fax(405) 752-3457
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 26, 2007
Last NPPES UpdateApril 23, 20263 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1386770246 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 OK · 1406
4140 W MEMORIAL RD STE 208, Oklahoma City, OK 73120

Other Identifiers 1

Medicaid200051880AOK

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

Kelly M Dennis 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 ID7719924562
PECOS Enrollment IDI20050603000985
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
4140 W MEMORIAL RD STE 208
OKLAHOMA CITY, OK 73120
Nurse Practitioner (Primary Care)
4140 W MEMORIAL RD STE 208
OKLAHOMA CITY, OK 73120
Nurse Practitioner (Family)
4140 W MEMORIAL RD STE 208
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
4140 W MEMORIAL RD STE 208
OKLAHOMA CITY, OK 73120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386770246, enumerated as an "individual" on February 26, 2007.

The provider is located at 4140 W MEMORIAL RD STE 208 OKLAHOMA CITY, OK 73120 and the phone number is (405) 749-7004.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica,. Please consult your insurance carrier or call the provider to verify.