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DR. KELSEY ANNE STAUDINGER DO
NPI 1689133472
Surgery in Tempe, AZ

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
1492 S MILL AVE STE 113, TEMPE, AZ 85281(602) 507-4468(602) 251-8825 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelsey Anne Staudinger Do NPPES

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

DR. KELSEY ANNE STAUDINGER DO (NPI 1689133472) is an individual surgery provider in Tempe, Arizona, licensed in Arizona (011720) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1689133472
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. KELSEY ANNE STAUDINGERCredential: DO
Location Address1492 S MILL AVE STE 113Tempe, AZ 85281-5660
Mailing Address1492 S Mill Ave Ste 113Tempe, AZ 85281-5660 · (602) 507-4468 · Fax (602) 251-8825
Phone(602) 507-4468
Fax(602) 251-8825
Sole ProprietorNo
Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1689133472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in AZ · 011720✔ Licensed in OR · DO219096
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1492 S MILL AVE STE 113, Tempe, AZ 85281
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Secondary Practice Location 1

Location 11040 NW 22nd Ave Ste 520Portland, OR 97210 · Phone (503) 413-7557

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

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

Dr. Kelsey Anne Staudinger Do 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 ID9335563279
PECOS Enrollment IDI20240322002436, I20250725001093
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.

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85281 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 5

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

MAURICIO VALDES MD
Orthopaedic Surgery
1492 S MILL AVE STE 113
TEMPE, AZ 85281
Maricopa County (602) 553-3113
DR. CRISTINA PECCI D.O.
Internal Medicine (Cardiovascular Disease)
1492 S MILL AVE STE 113
TEMPE, AZ 85281
Maricopa County (602) 234-0004
HONORHEALTH AMBULATORY
Surgery
1492 S MILL AVE STE 113
TEMPE, AZ 85281
Maricopa County (602) 553-3113
BRANDIE NICOLE BURCKHARD NP
Nurse Practitioner
1492 S MILL AVE STE 113
TEMPE, AZ 85281
Maricopa County (602) 507-4458
DR. MICHAEL JOHN SUMKO D.O.
Orthopaedic Surgery
1492 S MILL AVE STE 113
TEMPE, AZ 85281
Maricopa County (602) 553-3113

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 Staudinger's NPI number?

The NPI number for Kelsey Staudinger is 1689133472. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Kelsey Staudinger located?

Kelsey Staudinger practices at 1492 S Mill Ave Ste 113, Tempe, AZ 85281. The listed phone number is (602) 507-4468.

What is Kelsey Staudinger's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kelsey Staudinger enrolled in Medicare?

Yes. Kelsey Staudinger 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.

What insurance does Kelsey Staudinger accept?

Health plans from Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Moda Health Plan, Inc., Oscar Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Kelsey Staudinger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelsey Staudinger affiliated with any hospitals?

According to CMS data, Kelsey Staudinger is affiliated with Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Kelsey Staudinger was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.