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PATRICIA ROSE KELLY DMD
NPI 1407958119
Dentist - Oral and Maxillofacial Surgery in Seattle, WA

Active since September 02, 2006Opted out of Medicare · through Aug 8, 2026
4026 NE 55TH ST STE 100, SEATTLE, WA 98105(206) 522-2212(206) 522-9494 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, May 27, 2026 (2 updates tracked since 2026).

About Patricia Rose Kelly Dmd NPPES

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

PATRICIA ROSE KELLY DMD (NPI 1407958119) is an individual oral and maxillofacial surgery provider in Seattle, Washington, licensed in Washington (DR0000141) and active in the NPI registry since September 2006. She has opted out of Medicare through August 8, 2026.

NPPES Registry Identity

NPI1407958119
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NamePATRICIA ROSE KELLYCredential: DMD
Location Address4026 NE 55TH ST STE 100Seattle, WA 98105-2262
Mailing Address4026 Ne 55th St Ste 100Seattle, WA 98105-2262 · (206) 522-2212 · Fax (206) 522-9494
Phone(206) 522-2212
Fax(206) 522-9494
Sole ProprietorNo
Enumeration DateSeptember 2, 2006
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1407958119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WA · DR0000141
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4026 NE 55TH ST STE 100, Seattle, WA 98105
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Patricia Rose Kelly Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 8, 2016 through August 8, 2026.

Opt-Out Effective DateAugust 8, 2016
Opt-Out In Effect ThroughAugust 8, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

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 Patricia Kelly's NPI number?

The NPI number for Patricia Kelly is 1407958119. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Patricia Kelly located?

Patricia Kelly practices at 4026 NE 55th St Ste 100, Seattle, WA 98105. The listed phone number is (206) 522-2212.

What is Patricia Kelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Patricia Kelly enrolled in Medicare?

No. Patricia Kelly has opted out of Medicare through August 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Patricia Kelly was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.