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WYCLIFF KIPKEMOI PA-C
NPI 1669260410
Physician Assistant in Dayton, OH

Active since April 30, 2025PECOS EnrolledAccepts Medicare Assignment
300 COLLEGE PARK AVE, DAYTON, OH 45469(937) 229-1000 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wycliff Kipkemoi Pa-c NPPES

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

WYCLIFF KIPKEMOI PA-C (NPI 1669260410) is an individual physician assistant in Dayton, Ohio and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with Sky Lakes Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669260410
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWYCLIFF KIPKEMOICredential: PA-C
Location Address300 COLLEGE PARK AVEDayton, OH 45469-0002
Mailing Address300 College Park AveDayton, OH 45469-0001 · (937) 229-1000
Phone(937) 229-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1669260410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
300 COLLEGE PARK AVE, Dayton, OH 45469
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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 and accepts Medicare assignment

Wycliff Kipkemoi 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 ID244747715
PECOS Enrollment IDI20250729003202
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380050
Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45469 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 18

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

HANNA BAEHNER
Physician Assistant
300 COLLEGE PARK AVE
DAYTON, OH 45469
Montgomery County (937) 229-2900
CODY LUCAS ATC
Specialist/Technologist (Athletic Trainer)
300 COLLEGE PARK AVE
DAYTON, OH 45469
Montgomery County (937) 229-4437
RACHEL GILLESPIE ATC
Specialist/Technologist (Athletic Trainer)
300 COLLEGE PARK AVE
DAYTON, OH 45469
Montgomery County (937) 673-2046
PREMIER COMMUNITY HEALTH
Clinic/Center (Student Health)
300 COLLEGE PARK AVE
DAYTON, OH 45469
Montgomery County (937) 229-5090
JOSEPHINE DESIREE ROLLYSON LSW
Social Worker
300 COLLEGE PARK AVE
DAYTON, OH 45469
Montgomery County (937) 229-3778
DR. MATTHEW HEINER PH.D
Psychologist (Clinical)
300 COLLEGE PARK AVE
DAYTON, OH 45469
Montgomery County (937) 607-1469
ROGER N REEB PHD
Psychologist (Clinical)
300 COLLEGE PARK AVE, ST JOSHEPH HALL #306
UNIVERSITY OF DAYTON, OH 45469
Montgomery County (937) 626-6300
MILES MURATORE PA-C
Physician Assistant
300 COLLEGE PARK AVE
DAYTON, OH 45469
Montgomery County (937) 229-2900

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 Wycliff Kipkemoi's NPI number?

The NPI number for Wycliff Kipkemoi is 1669260410. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Wycliff Kipkemoi located?

Wycliff Kipkemoi practices at 300 College Park Ave, Dayton, OH 45469. The listed phone number is (937) 229-1000.

What is Wycliff Kipkemoi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Wycliff Kipkemoi enrolled in Medicare?

Yes. Wycliff Kipkemoi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Wycliff Kipkemoi affiliated with any hospitals?

According to CMS data, Wycliff Kipkemoi is affiliated with Sky Lakes Medical Center.

When was this NPI record last updated?

The NPPES record for Wycliff Kipkemoi was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.