KYLEE RICHMOND PA-C
NPI 1962069401
Physician Assistant in Hailey, ID

Q: What is Kylee Richmond's NPI number?

The NPI number for Kylee Richmond is 1962069401. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Q: What is Kylee Richmond's specialty?

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

Q: Is Kylee Richmond enrolled in Medicare?

No. Kylee Richmond has opted out of Medicare through June 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kylee Richmond was last updated on August 25, 2022. 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.

Active since May 21, 2019Opted out of Medicare · through Jun 30, 2028

507 S MAIN ST, HAILEY, ID 83333(208) 788-4122 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 25, 2022, Sep 24, 2021, Feb 12, 2021 and 1 more (4 updates tracked since 2019).

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About Kylee Richmond Pa-c NPPES

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

KYLEE RICHMOND PA-C (NPI 1962069401) is an individual physician assistant in Hailey, Idaho and active in the NPI registry since May 2019. She has opted out of Medicare through June 30, 2028 and remains eligible to order and refer and maintains a secondary practice location in Ketchum.

NPPES Registry Identity

NPI1962069401

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKYLEE RICHMONDCredential: PA-C

Location Address507 S MAIN STHailey, ID 83333-8929

Mailing AddressPo Box 4341Hailey, ID 83333-4341

Phone(208) 788-4122

Sole ProprietorNo

Enumeration DateMay 21, 2019

Last NPPES UpdateAugust 25, 20224 updates tracked since enumeration

NPPES CertifiedAugust 25, 2022

✔ NPI 1962069401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

507 S MAIN ST, Hailey, ID 83333

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Secondary Practice Location 1

Location 1511 Leadville Ave N, Suite 3AKetchum, ID 83340 · Phone (208) 944-9666

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kylee Richmond Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 30, 2026 through June 30, 2028.

Opt-Out Effective DateJune 30, 2026

Opt-Out In Effect ThroughJune 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

45 services39 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

35 services35 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83333 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 5

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

AMANDA BRADY KING MPT

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