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KELLI LYN KAY PA-C
NPI 1831648013
Physician Assistant in Charlotte, NC

Active since September 28, 2016PECOS EnrolledAccepts Medicare Assignment
10628 PARK RD, CHARLOTTE, NC 28210(703) 667-1000 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2021, Oct 7, 2021, Sep 28, 2016 (3 updates tracked since 2016).

About Kelli Lyn Kay Pa-c NPPES

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

KELLI LYN KAY PA-C (NPI 1831648013) is an individual physician assistant in Charlotte, North Carolina, licensed in Utah (12298680-1206) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Moab Regional Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1831648013
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLI LYN KAYCredential: PA-C
Location Address10628 PARK RDCharlotte, NC 28210-8407
Mailing Address1055 N 500 W, Attn CredentialingProvo, UT 84604 · (801) 354-8225
Phone(703) 667-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 28, 2016
Last NPPES UpdateDecember 10, 20213 updates tracked since enumeration
NPPES CertifiedDecember 10, 2021
✔ NPI 1831648013 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 UT · 12298680-1206✔ Licensed in NC · 0010-06770
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.
10628 PARK RD, Charlotte, NC 28210
Open in Google Maps ↗

Secondary Practice Locations 4

Location 14095 E Pony Express Pkwy Ste 1Eagle Mountain, UT 84005-5531 · Phone (801) 429-8037
Location 21055 N 500 W Bldg AProvo, UT 84604-3305 · Phone (801) 812-5033
Location 3972 N 600 ESpanish Fork, UT 84660-1306 · Phone (385) 265-6060
Location 4555 W State Road 164Salem, UT 84653-5732 · Phone (801) 425-4896

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

Kelli Lyn Kay 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 ID8729368824
PECOS Enrollment IDI20211014002997
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
19 services18 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Moab Regional Hospital

Critical Access Hospitals · Moab, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461302
Location450 West Williams WayMoab, UT 84532 · Grand County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

DR. RICHARD RALPH PAGANO MD
Anesthesiology
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
BENJAMIN JOEL ROBERTS CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
MR. GREGORY A DUGGAN CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
NGOC BAO NGUYEN PA
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-7070
CHERYL SPEIGHT MASTROIANNI CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
REAGAN FRANCES NORVELL
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 446-6810
DR. LINDA J. MATTHEWS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 973-5500
KAY HUFFSTETLER BARBERA CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000

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 Kelli Kay's NPI number?

The NPI number for Kelli Kay is 1831648013. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is Kelli Kay located?

Kelli Kay practices at 10628 Park Rd, Charlotte, NC 28210. The listed phone number is (703) 667-1000.

What is Kelli Kay's specialty?

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

Is Kelli Kay enrolled in Medicare?

Yes. Kelli Kay 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.

Is Kelli Kay affiliated with any hospitals?

According to CMS data, Kelli Kay is affiliated with Moab Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kelli Kay was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.