1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Physician Assistant
  6. NPI Profile

KELSEY NICOLE THAYER PA-C
NPI 1740966449
Physician Assistant in Santa Rosa, CA

Active since June 26, 2023PECOS Enrolled
1111 SONOMA AVE STE 210, SANTA ROSA, CA 95405(707) 324-3241 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Nicole Thayer Pa-c NPPES

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

KELSEY NICOLE THAYER PA-C (NPI 1740966449) is an individual physician assistant in Santa Rosa, California and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740966449
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY NICOLE THAYERCredential: PA-C
Location Address1111 SONOMA AVE STE 210Santa Rosa, CA 95405-4833
Mailing Address5 Daryl AveNovato, CA 94947-1947 · (415) 320-0916
Phone(707) 324-3241
Sole ProprietorNo
Enumeration DateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1740966449 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.
1111 SONOMA AVE STE 210, Santa Rosa, CA 95405
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Nicole Thayer Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Creation of muscle graft to trunk 15734
The creation of a muscle graft to the trunk is a surgical procedure where healthy muscle tissue is moved from one part of the body to another. This helps to repair damaged areas, improve function, and enhance appearance. It's a common procedure in reconstructive surgery.
22 services15 patients
Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002
This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.
17 services14 patients
Insertion of drug delivery implant into tissue 11981
A drug delivery implant is a small device inserted into your tissue. It releases medication over time, helping to manage certain health conditions. The procedure is done under local anesthesia, causing minimal discomfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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

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

BAY AREA ESTHETICS PLASTIC SURGERY INC
Plastic Surgery
1111 SONOMA AVE STE 210
SANTA ROSA, CA 95405
Sonoma County (209) 339-8921

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 Thayer's NPI number?

The NPI number for Kelsey Thayer is 1740966449. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Kelsey Thayer located?

Kelsey Thayer practices at 1111 Sonoma Ave Ste 210, Santa Rosa, CA 95405. The listed phone number is (707) 324-3241.

What is Kelsey Thayer's specialty?

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

Is Kelsey Thayer enrolled in Medicare?

Yes. Kelsey Thayer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Thayer was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.