KELSEY S RAFFERTY (PA) – Medical Physician Assistant, NPI 1598456790

KELSEY S RAFFERTY (PA) is a healthcare provider. based in Reno, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA3112 (NV). The NPI Number for KELSEY S RAFFERTY (PA) is 1598456790

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY S RAFFERTY (PA)
NPI
1598456790
Phone
(775) 784-4843
Address
18600 Wedge Pkwy
Enumeration Date
17 May 2023
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
7755574900101
Graduation Year
2024 (2 years ago)
PAC ID
9335648724
Group Practice PAC ID
0143506576
Professional Enrollment ID
I20250814000787
Address ID
NV894318516SP2115XDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for KELSEY S RAFFERTY (PA)

  • 18600 Wedge Pkwy

    Reno, NV 895113036

    Phone: (775) 784-4843

    Type: Location

  • 2121 RED BLOSSOM CT

    SPARKS, NV 894348095

    Phone: (775) 843-6018

    Type: Mailing

  • 491 COURT ST

    RENO, NV 895011708

    Phone: (775) 525-8103

    Fax: (775) 525-8105

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($43).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-08-14

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250814000787IPhysician AssistantNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89511)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143506576View full group profile
NameSpecialtyState
Internal MedicineVT

Reviews

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Frequently asked questions

Is there an official ID for KELSEY S RAFFERTY (PA) in U.S. healthcare records?
The official identifier for KELSEY S RAFFERTY (PA) is NPI 1598456790.
Would KELSEY S RAFFERTY (PA) appear as active to a payer?
You can treat KELSEY S RAFFERTY (PA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KELSEY S RAFFERTY (PA)?
KELSEY S RAFFERTY (PA) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is KELSEY S RAFFERTY (PA) associated with Reno?
Public fields place KELSEY S RAFFERTY (PA) around Reno, Nevada. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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