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

KELLEY HARTMAN PA-C
NPI 1497537377
Physician Assistant in Phoenix, AZ

Q: What is Kelley Hartman's NPI number?

The NPI number for Kelley Hartman is 1497537377. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Q: What is Kelley Hartman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelley Hartman 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 38 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.

Active since October 16, 2023PECOS Enrolled

4530 E MUIRWOOD DR STE 111, PHOENIX, AZ 85048(480) 961-2365(480) 961-2382 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2026, Sep 3, 2025, Oct 16, 2023 (3 updates tracked since 2023).

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About Kelley Hartman Pa-c NPPES

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

KELLEY HARTMAN PA-C (NPI 1497537377) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (6461) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chandler, and is a graduate of Mercy College (2016).

NPPES Registry Identity

NPI1497537377

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLEY HARTMANCredential: PA-C

Location Address4530 E MUIRWOOD DR STE 111Phoenix, AZ 85048-7693

Mailing Address4530 E Muirwood Dr Ste 111Phoenix, AZ 85048-7693

Phone(480) 961-2365

Fax(480) 961-2382

Sole ProprietorYes

Medical School CMSMercy CollegeGraduated 2016

Enumeration DateOctober 16, 2023

Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1497537377 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 AZ · 6461

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.

4530 E MUIRWOOD DR STE 111, Phoenix, AZ 85048

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Secondary Practice Location 1

Location 13008 N Dobson RdChandler, AZ 85224-1295 · Phone (480) 535-2424

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID547754053

PECOS Enrollment IDI20251211002976

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 85048 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 13

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

MISS AMBER MCLOUTH PA-C

Physician Assistant