KELLY MURIEL HOGAN PA-C
NPI 1861123564
Physician Assistant - Medical in Mesa, AZ
NPI Status: Active since June 22, 2022
Contact Information
3130 E BASELINE RD STE 107
MESA, AZ
ZIP 85204
Phone: (480) 345-1980
Fax: (480) 926-1721
- Individual
- Female
- Physician Assistant
- Medical
- Accepts Insurance
- PECOS Enrolled
About KELLY HOGAN
This page provides the complete NPI Profile along with additional information for Kelly Hogan, a primary care provider established in Mesa, Arizona with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1861123564 assigned on June 2022. The practitioner's primary taxonomy code is 363AM0700X with license number 9622 (AZ). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1861123564
- Provider Name
- KELLY MURIEL HOGAN PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3130 E BASELINE RD STE 107 MESA, AZ 85204
- Location Phone
- (480) 345-1980
- Location Fax
- (480) 926-1721
- Mailing Address
- 1839 S ALMA SCHOOL RD STE 354 MESA, AZ 85210
- Mailing Phone
- (480) 726-2287
- Mailing Fax
- (480) 926-1721
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-22-2022
- Last Update Date
- 07-17-2023
- Code Navigator
A primary care provider (PCP) like Kelly Hogan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 3011 S Lindsay Rd Ste 101
Gilbert, AZ 85295
(480) 726-2500 - 2145 E Warner Rd Ste 104
Tempe, AZ 85284
(480) 664-9443 - 2919 S Ellsworth Rd Ste 111
Mesa, AZ 85212
(480) 564-1185 - 20860 N Tatum Blvd Ste 290
Phoenix, AZ 85050
(480) 563-1144 - 15256 N 75th Ave Ste 360
Peoria, AZ 85381
(623) 486-2424 - 1277 E Missouri Ave Ste 101
Phoenix, AZ 85014
(602) 296-4060 - 270 E Hunt Hwy Ste A-2
San Tan Valley, AZ 85143
(480) 882-2222 - 14239 W Bell Rd Ste 108
Surprise, AZ 85374
(623) 248-4283
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 9622
- License State
- AZ
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | 7047150001 (AZ) |
| 2 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | 7939960001 (AZ) |
| 3 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | 7629170001 (AZ) |
| 4 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | 8220410001 (AZ) |
| 5 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | 7057360001 (AZ) |
| 6 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | 70349500001 (AZ) |
| 7 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | 7209350001 (AZ) |
| 8 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | 7046960001 (AZ) |
| 9 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | 704516001 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Simple - HMO
- Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
- Bronze Simple Chronic Care CKM - HMO
- Buena Salud Bronce Simple Para Diabetes - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Gold Simple - HMO
- Gold Simple Diabetes - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple Specialist Saver with COPD - HMO
- Silver Simple Women's Health with Menopause Benefits - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kelly Hogan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1861123564, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
MESA, AZ 85204
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861123564, enumerated as an "individual" on June 22, 2022.
The provider is located at 3130 E BASELINE RD STE 107 MESA, AZ 85204 and the phone number is (480) 345-1980.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
The provider might be accepting Accepts: Oscar Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.
