COURTNEY G KELM PAC
NPI 1619948064
Physician Assistant - Medical in Chandler, AZ
About Courtney G Kelm Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY G KELM PAC (NPI 1619948064) is an individual medical provider in Chandler, Arizona, licensed in Arizona (2515) and active in the NPI registry since February 2006. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Courtney G Kelm Pac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Courtney Kelm's NPI number?
The NPI number for Courtney Kelm is 1619948064. It was assigned to this individual provider in the NPPES registry on February 1, 2006. The provider is also known as Courtney G Mcdaniel PA.
Where is Courtney Kelm located?
Courtney Kelm practices at 725 S Dobson Rd Ste 100, Chandler, AZ 85224. The listed phone number is (602) 795-8700.
What is Courtney Kelm's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Courtney Kelm enrolled in Medicare?
No. Courtney Kelm has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Courtney Kelm was last updated on December 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Courtney G Kelm, PAC · NPI 1619948064
Medical physician in Chandler, Arizona. Individual provider, active in the CMS NPPES registry since February 1, 2006.
## Identity
- **NPI:** 1619948064 (Entity type: Individual)
- **Enumerated:** February 1, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 2515 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 S DOBSON RD, STE 100, Chandler, AZ 85224-5680
- **Phone:** (602) 795-8700 · **Fax:** (602) 795-8701
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** December 16, 2015
- **Other identifiers:** Medicare UPIN P02380; Medicare ID-Type Unspecified 67415 (AZ); Medicaid 623307 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1619948064) · Data from the CMS NPPES public registry.