RICHARD KELLEY PA-C
NPI 1558316786
Physician Assistant in Modesto, CA

Q: What is Richard Kelley's NPI number?

The NPI number for Richard Kelley is 1558316786. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Richard Kelley'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 Richard Kelley was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 May 24, 2006PECOS EnrolledAccepts Medicare Assignment

1441 FLORIDA AVE, MODESTO, CA 95350(209) 576-3609 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2022, Mar 28, 2016 (2 updates tracked since 2016).

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About Richard Kelley Pa-c NPPES

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

RICHARD KELLEY PA-C (NPI 1558316786) is an individual physician assistant in Modesto, California, licensed in California (PA15710) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1558316786

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameRICHARD KELLEYCredential: PA-C

Location Address1441 FLORIDA AVEModesto, CA 95350-4404

Mailing Address1441 Florida Ave, Ste 200Modesto, CA 95350-4404 · (209) 576-3601 · Fax (209) 576-3680

Phone(209) 576-3609

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 24, 2006

Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration

✔ NPI 1558316786 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 · PA15710

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 ListedNurse PractitionerTaxonomy 363L00000X · License NP13052 (CA)

1441 FLORIDA AVE, Modesto, CA 95350

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Other Identifiers 1

OtherCD069ACA · Group Ptan Greater Modesto Medical Surgical Associates

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard Kelley Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335131275

PECOS Enrollment IDI20040331001666

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 95350 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

DR. THUY-LIEN THI LE M.D.

Student in an Organized Health Care Education/Training Program