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KELLEY HILTON
NPI 1780014175
Physician Assistant - Surgical in Santa Rosa, CA

Active since November 21, 2013PECOS EnrolledAccepts Medicare Assignment
525 DOYLE PARK DR STE 101, SANTA ROSA, CA 95405(707) 525-6620(707) 693-7040 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelley Hilton NPPES

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

KELLEY HILTON (NPI 1780014175) is an individual surgical provider in Santa Rosa, California, licensed in New York (027030) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780014175
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKELLEY HILTON
Location Address525 DOYLE PARK DR STE 101Santa Rosa, CA 95405-4562
Mailing Address525 Doyle Park Dr Ste 101Santa Rosa, CA 95405-4562
Phone(707) 525-6620
Fax(707) 693-7040
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 21, 2013
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1780014175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 027030
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License AT469 (ME)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 62928 (CA)
525 DOYLE PARK DR STE 101, Santa Rosa, CA 95405
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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

Kelley Hilton 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 ID6103222963
PECOS Enrollment IDI20251031002494
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.

Other Providers at the Same Location NPPES

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

LUCAS RAYMOND KING
Orthopaedic Surgery (Sports Medicine)
525 DOYLE PARK DR STE 101
SANTA ROSA, CA 95405
Sonoma County (707) 525-6620

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 Kelley Hilton's NPI number?

The NPI number for Kelley Hilton is 1780014175. It was assigned to this individual provider in the NPPES registry on November 21, 2013.

Where is Kelley Hilton located?

Kelley Hilton practices at 525 Doyle Park Dr Ste 101, Santa Rosa, CA 95405. The listed phone number is (707) 525-6620.

What is Kelley Hilton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kelley Hilton enrolled in Medicare?

Yes. Kelley Hilton 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.

When was this NPI record last updated?

The NPPES record for Kelley Hilton was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.