KELSEY GRANGER PA
NPI 1760255863
Physician Assistant in Las Vegas, NV

Active since November 01, 2023PECOS EnrolledAccepts Medicare Assignment
620 SHADOW LN, LAS VEGAS, NV 89106(702) 259-1228(928) 772-2582 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2025, Apr 30, 2024, Nov 1, 2023 (3 updates tracked since 2023).

About Kelsey Granger Pa NPPES

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

KELSEY GRANGER PA (NPI 1760255863) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA3011) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2023).

NPPES Registry Identity

NPI1760255863
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY GRANGERCredential: PA
Location Address620 SHADOW LNLas Vegas, NV 89106-4119
Mailing Address620 Shadow LnLas Vegas, NV 89106-4119 · (702) 259-1228
Fax(928) 772-2582
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2023
Enumeration DateNovember 1, 2023
Last NPPES UpdateFebruary 10, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
NPI 1760255863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NV · PA3011 Licensed in AZ · 10295 Licensed in NV · PA0685
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.
620 SHADOW LN, Las Vegas, NV 89106

Accepted 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

Kelsey Granger Pa 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 ID1254779010
PECOS Enrollment IDI20240329002190, I20250320000830
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 28

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.
412 services172 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
296 services86 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
146 services22 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
104 services104 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
101 services101 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
101 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89106 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.

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.

Nurse Practitioner
620 SHADOW LN
LAS VEGAS, NV 89106
Orthopaedic Surgery
620 SHADOW LN
LAS VEGAS, NV 89106
Emergency Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Internal Medicine (Gastroenterology)
620 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
620 SHADOW LN
LAS VEGAS, NV 89106

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 Granger's NPI number?

The NPI number for Kelsey Granger is 1760255863. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Kelsey Granger located?

Kelsey Granger practices at 620 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 259-1228.

What is Kelsey Granger's specialty?

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

Is Kelsey Granger enrolled in Medicare?

Yes. Kelsey Granger 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 Granger accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Providence Health Plan and UnitedHealthcare list Kelsey Granger 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 Kelsey Granger was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.