KELLEY LYNN STEM PA-C
NPI 1790324804
Physician Assistant in Tallahassee, FL

Q: What is Kelley Stem's NPI number?

The NPI number for Kelley Stem is 1790324804. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Q: What is Kelley Stem's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelley Stem was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 06, 2020PECOS EnrolledAccepts Medicare Assignment

1401 CENTERVILLE RD STE 202, TALLAHASSEE, FL 32308(850) 877-7241 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2020, Jan 6, 2020 (2 updates tracked since 2020).

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About Kelley Lynn Stem Pa-c NPPES

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

KELLEY LYNN STEM PA-C (NPI 1790324804) is an individual physician assistant in Tallahassee, Florida, licensed in Florida (PA9112914) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Florida State University College Of Medicine (2019).

NPPES Registry Identity

NPI1790324804

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLEY LYNN STEMCredential: PA-C

Location Address1401 CENTERVILLE RD STE 202Tallahassee, FL 32308-4638

Mailing Address1401 Centerville Rd Ste 202Tallahassee, FL 32308-4638

Phone(850) 877-7241

Sole ProprietorNo

Medical School CMSFlorida State University College Of MedicineGraduated 2019

Enumeration DateJanuary 6, 2020

Last NPPES UpdateJanuary 13, 20202 updates tracked since enumeration

✔ NPI 1790324804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9112914

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

1401 CENTERVILLE RD STE 202, Tallahassee, FL 32308

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Kelley Lynn Stem 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 ID1951737857

PECOS Enrollment IDI20200213001206

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 32308 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 18

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

SAWYER BOAKES

Physician Assistant