KELLY ROBERTS PA-C
NPI 1699382465
Physician Assistant in Las Vegas, NV

Q: What is Kelly Roberts's NPI number?

The NPI number for Kelly Roberts is 1699382465. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Q: What is Kelly Roberts's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Roberts was last updated on December 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2020PECOS EnrolledAccepts Medicare Assignment

4750 W OAKEY BLVD STE 3A, LAS VEGAS, NV 89102(702) 877-5199 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2020, Sep 25, 2020 (2 updates tracked since 2020).

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About Kelly Roberts Pa-c NPPES

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

KELLY ROBERTS PA-C (NPI 1699382465) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA2374) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699382465

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLY ROBERTSCredential: PA-C

Location Address4750 W OAKEY BLVD STE 3ALas Vegas, NV 89102-1535

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5199

Phone(702) 877-5199

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 25, 2020

Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration

NPPES CertifiedDecember 4, 2020

✔ NPI 1699382465 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 NV · PA2374

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.

4750 W OAKEY BLVD STE 3A, Las Vegas, NV 89102

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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

Kelly Roberts 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 ID1052723491

PECOS Enrollment IDI20201209001568

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

124 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers13 claims25 services$6.55 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers43 claims43 services$177.62 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

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

NEIL A BRAUNSTEIN MD

Internal Medicine (Rheumatology)