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SAMANTHA LYNN KELLEY
NPI 1699509679
Physician Assistant in Litchfield Park, AZ

Active since August 30, 2024PECOS EnrolledAccepts Medicare Assignment
14044 W CAMELBACK RD STE 118, LITCHFIELD PARK, AZ 85340(623) 547-2600(623) 547-1899 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Lynn Kelley NPPES

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

SAMANTHA LYNN KELLEY (NPI 1699509679) is an individual physician assistant in Litchfield Park, Arizona, licensed in Arizona (10538) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1699509679
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA LYNN KELLEY
Location Address14044 W CAMELBACK RD STE 118Litchfield Park, AZ 85340-9481
Mailing Address14044 W Camelback Rd Ste 118Litchfield Park, AZ 85340-9481 · (623) 547-2600 · Fax (623) 547-1899
Phone(623) 547-2600
Fax(623) 547-1899
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 30, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1699509679 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 AZ · 10538
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.
14044 W CAMELBACK RD STE 118, Litchfield Park, AZ 85340
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, UnitedHealthcare.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

Samantha Lynn Kelley 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 ID7911448972
PECOS Enrollment IDI20240918002814
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85340 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 20

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

JOSHUA DERREN JONES M.D.
Urology
14044 W CAMELBACK RD STE 118
LITCHFIELD PARK, AZ 85340
Maricopa County (623) 547-2600
RACHAEL BROWN
Physician Assistant
14044 W CAMELBACK RD STE 118
LITCHFIELD PARK, AZ 85340
Maricopa County (623) 547-2600
MELINDA J DORSEY NP
Nurse Practitioner (Family)
14044 W CAMELBACK RD STE 118
LITCHFIELD PARK, AZ 85340
Maricopa County (623) 547-2600
DR. MARCO VALERIO CANULLA MD
Surgery
14044 W CAMELBACK RD STE 118
LITCHFIELD PARK, AZ 85340
Maricopa County (623) 584-4882
DR. JOHN MICHAEL MAI M.D.
Urology
14044 W CAMELBACK RD STE 118
LITCHFIELD PARK, AZ 85340
Maricopa County (623) 547-2600
KATHRYN MICHELLE EARHART PA-C
Physician Assistant
14044 W CAMELBACK RD STE 118
LITCHFIELD PARK, AZ 85340
Maricopa County (623) 547-2600
MIKA WATANABE PA-C
Physician Assistant
14044 W CAMELBACK RD STE 118
LITCHFIELD PARK, AZ 85340
Maricopa County (623) 547-2600
DR. AMY ELUNED SCHLAIFER M.D.
Urology
14044 W CAMELBACK RD STE 118
LITCHFIELD PARK, AZ 85340
Maricopa County (623) 547-2600

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 Samantha Kelley's NPI number?

The NPI number for Samantha Kelley is 1699509679. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Where is Samantha Kelley located?

Samantha Kelley practices at 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340. The listed phone number is (623) 547-2600.

What is Samantha Kelley's specialty?

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

Is Samantha Kelley enrolled in Medicare?

Yes. Samantha Kelley 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 Samantha Kelley accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Samantha Kelley 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.

When was this NPI record last updated?

The NPPES record for Samantha Kelley was last updated on August 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.