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KAITLIN M KELLY PA-C
NPI 1972021434
Physician Assistant - Medical in Gig Harbor, WA

Active since September 05, 2017PECOS EnrolledAccepts Medicare Assignment
4700 POINT FOSDICK DR STE 102, GIG HARBOR, WA 98335(253) 853-2050(253) 853-2711 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2020, Mar 17, 2018, Oct 20, 2017 (3 updates tracked since 2017).

About Kaitlin M Kelly Pa-c NPPES

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

KAITLIN M KELLY PA-C (NPI 1972021434) is an individual medical provider in Gig Harbor, Washington, licensed in Washington (PA60796422) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1972021434
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKAITLIN M KELLYCredential: PA-C
Location Address4700 POINT FOSDICK DR STE 102Gig Harbor, WA 98335-1706
Mailing Address4700 Point Fosdick Dr Ste 102Gig Harbor, WA 98335-1706 · (253) 853-2050 · Fax (253) 853-2711
Phone(253) 853-2050
Fax(253) 853-2711
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 5, 2017
Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1972021434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA60796422
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA60796422 (WA)
4700 POINT FOSDICK DR STE 102, Gig Harbor, WA 98335
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17136 Meadow TrceRockford, IL 61114-8177 · Phone (815) 601-9805
Location 215585 NE 24th StBellevue, WA 98007-3836 · Phone (888) 227-3312

Other Identifiers 1

Medicaid2088986WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Kaitlin M Kelly 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 ID3173889326
PECOS Enrollment IDI20171104000263
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 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.
79 services79 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.
28 services28 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.
21 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
11 services11 patients

Other Providers at the Same Location NPPES 2

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

JASON KITTREDGE MD
Family Medicine
4700 POINT FOSDICK DR STE 102
GIG HARBOR, WA 98335
Pierce County (253) 853-2050
MICHELLE M WARNER ARNP
Nurse Practitioner (Family)
4700 POINT FOSDICK DR STE 102
GIG HARBOR, WA 98335
Pierce County (253) 853-2050

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 Kaitlin Kelly's NPI number?

The NPI number for Kaitlin Kelly is 1972021434. It was assigned to this individual provider in the NPPES registry on September 5, 2017.

Where is Kaitlin Kelly located?

Kaitlin Kelly practices at 4700 Point Fosdick Dr Ste 102, Gig Harbor, WA 98335. The listed phone number is (253) 853-2050.

What is Kaitlin Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kaitlin Kelly enrolled in Medicare?

Yes. Kaitlin Kelly 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.

What insurance does Kaitlin Kelly accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kaitlin Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaitlin Kelly was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.