KELLY JO PLENCNER-VEGA MSN,CNM
NPI 1407302763
Advanced Practice Midwife in Phoenix, AZ

Q: What is Kelly Plencner-vega's NPI number?

The NPI number for Kelly Plencner-vega is 1407302763. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Q: What is Kelly Plencner-vega's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Active since August 28, 2016PECOS Enrolled

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1619 Get Directions Write a Review

NPPES record last updated: May 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 31, 2026, Sep 24, 2021, Aug 28, 2016 (3 updates tracked since 2016).

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About Kelly Jo Plencner-vega Msn,cnm NPPES

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

KELLY JO PLENCNER-VEGA MSN,CNM (NPI 1407302763) is an individual advanced practice midwife in Phoenix, Arizona, licensed in Arizona (AP8510) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gilbert.

NPPES Registry Identity

NPI1407302763

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameKELLY JO PLENCNER-VEGACredential: MSN,CNM

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 581-6076 · Fax (602) 263-1619

Phone(602) 263-1200

Fax(602) 263-1619

Sole ProprietorNo

Enumeration DateAugust 28, 2016

Last NPPES UpdateMay 31, 20263 updates tracked since enumeration

NPPES CertifiedMay 31, 2026

✔ NPI 1407302763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in AZ · AP8510

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

4212 N 16TH ST, Phoenix, AZ 85016

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Secondary Practice Location 1

Location 13815 S Val Vista Dr, Gilbert, AZGilbert, AZ 85297 · Phone (480) 782-0993 · Fax (855) 329-8939

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Jo Plencner-vega Msn,cnm 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Plencner-vega reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

Same address

Public Health or Welfare

4212 N 16TH ST
Phoenix, AZ 85016

Reassigned Medicare billing, Texas enrollment
599 clinicians in this Medicare group

NPI 1083643738 (602) 263-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 20

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

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)