KELLY ANNE RAYBURN PA-C
NPI 1548228398
Physician Assistant - Surgical in Jbsa Lackland, TX
NPI Status: Active since May 02, 2006
Contact Information
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX
ZIP 78236
Phone: (210) 314-0779
- Individual
- Female
- Physician Assistant
- Surgical
- PECOS Enrolled
About KELLY RAYBURN
This page provides the complete NPI Profile along with additional information for Kelly Rayburn, a provider established in Jbsa Lackland, Texas with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1548228398 assigned on May 2006. The practitioner's primary taxonomy code is 363AS0400X with license number PA05332 (TX). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1548228398
- Provider Name
- KELLY ANNE RAYBURN PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1100 WILFORD HALL LOOP JBSA LACKLAND, TX 78236
- Location Phone
- (210) 314-0779
- Mailing Address
- 10922 IRON SPG HELOTES, TX 78023
- Mailing Phone
- (210) 314-0779
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-02-2006
- Last Update Date
- 12-02-2019
- Code Navigator
Location Map
Secondary Locations
- 12709 Toepperwein Rd Ste 101
Live Oak, TX 78233
(210) 477-5151
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA05332
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01008379 | OTHER (01) | TX | RAILROAD MEDICARE |
| 345120501 | MEDICAID (05) | TX |
Medicare Participation & PECOS Enrollment Status
Kelly Rayburn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for KELLY ANNE RAYBURN PA-C
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1548228398, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
LACKLAND AFB, TX 78236
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548228398, enumerated as an "individual" on May 02, 2006.
The provider is located at 1100 WILFORD HALL LOOP JBSA LACKLAND, TX 78236 and the phone number is (210) 314-0779.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
