KELLI JEAN PERRY PA-C
NPI 1669795571
Physician Assistant in Lakewood, CO

Active since March 05, 2010Opted out of Medicare · through Apr 1, 2028
165 S. UNION BLVD., STE #800, LAKEWOOD, CO 80228(303) 988-2680(303) 986-8057 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelli Jean Perry Pa-c NPPES

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

KELLI JEAN PERRY PA-C (NPI 1669795571) is an individual physician assistant in Lakewood, Colorado, licensed in Colorado (1846) and active in the NPI registry since March 2010. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669795571
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLI JEAN PERRYCredential: PA-C
Location Address165 S. UNION BLVD., STE #800Lakewood, CO 80228
Mailing Address1707 Cole Blvd., Ste #100Golden, CO 80401 · (303) 716-8018 · Fax (303) 763-5495
Fax(303) 986-8057
Sole ProprietorNo
Enumeration DateMarch 5, 2010
Last NPPES UpdateFebruary 16, 2017
NPI 1669795571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CO · 1846
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.
165 S. UNION BLVD., Lakewood, CO 80228

Other Names 1

Former Name (1)Kelli Jean Eberhardt Pa-c

Other Identifiers 1

Medicaid18170340CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelli Jean Perry Pa-c 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 April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80228 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$68.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
165 S. UNION BLVD., STE #800
LAKEWOOD, CO 80228

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 Kelli Perry's NPI number?

The NPI number for Kelli Perry is 1669795571. It was assigned to this individual provider in the NPPES registry on March 5, 2010. The provider is also known as Kelli Jean Eberhardt Pa-C.

Where is Kelli Perry located?

Kelli Perry practices at 165 S. Union Blvd. Ste #800, Lakewood, CO 80228. The listed phone number is (303) 988-2680.

What is Kelli Perry's specialty?

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

Is Kelli Perry enrolled in Medicare?

No. Kelli Perry has opted out of Medicare through April 1, 2028. 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 Kelli Perry was last updated on February 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.