KELLY REMBOLT PA-C
NPI 1528580792
Physician Assistant in Philadelphia, PA

Q: What is Kelly Rembolt's NPI number?

The NPI number for Kelly Rembolt is 1528580792. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Q: What is Kelly Rembolt'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 Kelly Rembolt was last updated on January 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 10, 2017PECOS Enrolled

401 W ALLEGHENY AVE, PHILADELPHIA, PA 19133(215) 291-2500 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2021, Aug 3, 2017, Jul 10, 2017 (3 updates tracked since 2017).

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About Kelly Rembolt Pa-c NPPES

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

KELLY REMBOLT PA-C (NPI 1528580792) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in California (58595) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528580792

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLY REMBOLTCredential: PA-C

Location Address401 W ALLEGHENY AVEPhiladelphia, PA 19133-3644

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (619) 269-0674

Phone(215) 291-2500

Sole ProprietorNo

Enumeration DateJuly 10, 2017

Last NPPES UpdateJanuary 26, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2021

✔ NPI 1528580792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 58595

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA059130 (PA)

401 W ALLEGHENY AVE, Philadelphia, PA 19133

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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)

Kelly Rembolt Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19133 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.