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KELLIE MARIE LIM PA-C
NPI 1831695824
Physician Assistant in Mesa, AZ

Active since March 30, 2018PECOS Enrolled
4360 E BROWN RD STE 113, MESA, AZ 85205(480) 964-0080 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2018, Mar 30, 2018 (2 updates tracked since 2018).

About Kellie Marie Lim Pa-c NPPES

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

KELLIE MARIE LIM PA-C (NPI 1831695824) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (6984) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1831695824
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLIE MARIE LIMCredential: PA-C
Location Address4360 E BROWN RD STE 113Mesa, AZ 85205-4084
Mailing Address4946 W Electra LnGlendale, AZ 85310-3839 · (408) 410-0645
Phone(480) 964-0080
Sole ProprietorNo
Enumeration DateMarch 30, 2018
Last NPPES UpdateMay 3, 20182 updates tracked since enumeration
✔ NPI 1831695824 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 AZ · 6984
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.
4360 E BROWN RD STE 113, Mesa, AZ 85205
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Secondary Practice Location 1

Location 14946 W Electra LnGlendale, AZ 85310-3839 · Phone (408) 410-0645

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Marie Lim Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85205 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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

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

ANA-MARIA SUROIU M.D.
Family Medicine
4360 E BROWN RD STE 113
MESA, AZ 85205
Maricopa County (480) 218-2779

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 Kellie Lim's NPI number?

The NPI number for Kellie Lim is 1831695824. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Kellie Lim located?

Kellie Lim practices at 4360 E Brown Rd Ste 113, Mesa, AZ 85205. The listed phone number is (480) 964-0080.

What is Kellie Lim's specialty?

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

Is Kellie Lim enrolled in Medicare?

Yes. Kellie Lim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kellie Lim was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.