CORIE S KELLY (PA) – Physician Assistant, NPI 1598885170
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,726 PHYSICIAN ASSISTANT in AZ
Provider Addresses for CORIE S KELLY (PA)
1705 W University Dr Ste 104
Tempe, AZ 852813269
Phone: (480) 493-3444
Fax: (480) 867-4464
Type: Location
525 S WATSON RD STE 200
BUCKEYE, AZ 853263451
Phone: (602) 726-8750
Fax: (236) 474-5811
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-11-01
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071101000159 | I | Physician Assistant | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 177 | 151 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 162 | 143 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 64 | 57 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 15 | 15 | $0 |
| 81002 | Urinalysis, manual test | 12 | 12 | $0 |
Insurance plans in this area (ZIP 85281)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AZ | 81002 | Urinalysis, manual test | 31 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | NM | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ |
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