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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRACE KELLY PA-C
NPI 1396617650
Physician Assistant in Ephrata, PA

Active since September 18, 2025PECOS Enrolled
895 EAST MAIN STREET, EPHRATA, PA 17522(717) 721-4585(717) 721-4597 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2026, May 8, 2026, May 1, 2026 and 1 more (4 updates tracked since 2025).

About Grace Kelly Pa-c NPPES

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

GRACE KELLY PA-C (NPI 1396617650) is an individual physician assistant in Ephrata, Pennsylvania, licensed in Pennsylvania (MA067581) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396617650
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGRACE KELLYCredential: PA-C
Location Address895 EAST MAIN STREETEphrata, PA 17522-2545
Mailing Address895 East Main StreetEphrata, PA 17522-2545 · (717) 721-4585 · Fax (717) 721-4597
Phone(717) 721-4585
Fax(717) 721-4597
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 18, 2025
Last NPPES UpdateJuly 10, 20264 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1396617650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA067581
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
895 EAST MAIN STREET, Ephrata, PA 17522
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Kelly Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193290633
PECOS Enrollment IDI20260413000235
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

LANCASTER GENERAL MEDICAL GROUP
Clinic/Center (Urgent Care)
895 EAST MAIN STREET
EPHRATA, PA 17522
Lancaster County (717) 721-4585
AMY HOMAN PA-C
Physician Assistant
895 EAST MAIN STREET
EPHRATA, PA 17522
Lancaster County (717) 721-4585
MR. WILLIAM E BUCKNER PA-C
Physician Assistant
895 EAST MAIN STREET
EPHRATA, PA 17522
Lancaster County (717) 721-4585

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 Grace Kelly's NPI number?

The NPI number for Grace Kelly is 1396617650. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Grace Kelly located?

Grace Kelly practices at 895 East Main Street, Ephrata, PA 17522. The listed phone number is (717) 721-4585.

What is Grace Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Grace Kelly enrolled in Medicare?

Yes. Grace Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Kelly was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.