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KELSEY ELISE MARTIN PA-C
NPI 1588444541
Student in an Organized Health Care Education/Training Program in Danville, CA

Active since October 05, 2023PECOS Enrolled
4165 BLACKHAWK PLAZA CIR STE 100, DANVILLE, CA 94506(925) 736-7070(925) 736-7075 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelsey Elise Martin Pa-c NPPES

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

KELSEY ELISE MARTIN PA-C (NPI 1588444541) is an individual student in an organized health care education/training program in Danville, California and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1588444541
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELSEY ELISE MARTINCredential: PA-C
Location Address4165 BLACKHAWK PLAZA CIR STE 100Danville, CA 94506-4691
Mailing Address4165 Blackhawk Plaza Cir Ste 100Danville, CA 94506-4691 · (925) 736-7070 · Fax (925) 736-7075
Phone(925) 736-7070
Fax(925) 736-7075
Sole ProprietorNo
Enumeration DateOctober 5, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1588444541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4165 BLACKHAWK PLAZA CIR STE 100, Danville, CA 94506
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Secondary Practice Locations 2

Location 121030 Redwood RdCastro Valley, CA 94546-5920 · Phone (510) 247-8281
Location 23424 Camino TassajaraDanville, CA 94506-4680 · Phone (925) 309-2700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Elise Martin 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services37 patients

Other Providers at the Same Location NPPES 9

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

RICHARD LEON CAZIN PA
Physician Assistant (Medical)
4165 BLACKHAWK PLAZA CIR STE 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
NATHALIE MICHAUD M.D.
Family Medicine
4165 BLACKHAWK PLAZA CIR STE 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
CLARISSA FAGO FNP
Nurse Practitioner (Family)
4165 BLACKHAWK PLAZA CIR STE 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
MAKAYLA FIKRAT
Nurse Practitioner (Family)
4165 BLACKHAWK PLAZA CIR STE 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
SHAWNTEL ANN REDDY MSN, FNP-C
Nurse Practitioner (Family)
4165 BLACKHAWK PLAZA CIR STE 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
DR. MALLORY CLESS MD
Family Medicine
4165 BLACKHAWK PLAZA CIR STE 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
JULIA GOVAN
Physician Assistant
4165 BLACKHAWK PLAZA CIR STE 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070
MARCIE RYAN PAC
Physician Assistant
4165 BLACKHAWK PLAZA CIR STE 100
DANVILLE, CA 94506
Contra Costa County (925) 736-7070

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 Kelsey Martin's NPI number?

The NPI number for Kelsey Martin is 1588444541. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Where is Kelsey Martin located?

Kelsey Martin practices at 4165 Blackhawk Plaza Cir Ste 100, Danville, CA 94506. The listed phone number is (925) 736-7070.

What is Kelsey Martin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelsey Martin enrolled in Medicare?

Yes. Kelsey Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Martin was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.