KELLY MARIE GAITHER PA-C
NPI 1770185142
Physician Assistant in Apple Valley, MN

Active since November 11, 2020PECOS EnrolledAccepts Medicare Assignment
15350 ENGLISH AVE, APPLE VALLEY, MN 55124(952) 431-8500 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2024, May 3, 2022, Mar 10, 2021 and 1 more (4 updates tracked since 2020).

About Kelly Marie Gaither Pa-c NPPES

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

KELLY MARIE GAITHER PA-C (NPI 1770185142) is an individual physician assistant in Apple Valley, Minnesota, licensed in Minnesota (13314) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770185142
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY MARIE GAITHERCredential: PA-C
Location Address15350 ENGLISH AVEApple Valley, MN 55124
Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 11, 2020
Last NPPES UpdateOctober 9, 20244 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
NPI 1770185142 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 MN · 13314
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.
15350 ENGLISH AVE, Apple Valley, MN 55124

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

Kelly Marie Gaither 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 ID3072991074
PECOS Enrollment IDI20220603000405
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 5

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
45 services32 patients
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.
44 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services39 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
12 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55124 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Obstetrics & Gynecology
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Physician Assistant
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Dentist (General Practice)
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Obstetrics & Gynecology
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Family Medicine
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Family Medicine
15350 ENGLISH AVE
APPLE VALLEY, MN 55124
Physician Assistant
15350 ENGLISH AVE
APPLE VALLEY, MN 55124

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 Kelly Gaither's NPI number?

The NPI number for Kelly Gaither is 1770185142. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Kelly Gaither located?

Kelly Gaither practices at 15350 English Ave, Apple Valley, MN 55124. The listed phone number is (952) 431-8500.

What is Kelly Gaither's specialty?

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

Is Kelly Gaither enrolled in Medicare?

Yes. Kelly Gaither 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 Kelly Gaither accept?

Health plans from HealthPartners and Medica list Kelly Gaither 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 Kelly Gaither affiliated with any hospitals?

According to CMS data, Kelly Gaither is affiliated with Regions Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Gaither was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.