KELLY SUE PEREZ (RPA-C) – Medical Physician Assistant, NPI 1730412172

KELLY SUE PEREZ (RPA-C) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials RPA-C. They hold a License No. MA055368 (PA). The NPI Number for KELLY SUE PEREZ (RPA-C) is 1730412172

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KELLY SUE PEREZ (RPA-C)
NPI
1730412172
Phone
(702) 316-1622
Address
7150 W SUNSET RD STE 201A
Enumeration Date
17 September 2009
Last Update Date
26 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
8527229723
Group Practice PAC ID
2365440567
Professional Enrollment ID
I20211007000101
Address ID
FL334456615DE4675XBLVD300
Telehealth
Yes

Contacts

Secure Messaging
KELLY.PEREZ@hca4.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:16State licenses:2Other namesUpdated within 12 months

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for KELLY SUE PEREZ (RPA-C)

  • 7150 W SUNSET RD STE 201A

    LAS VEGAS, NV 891131981

    Phone: (702) 316-1622

    Fax: (702) 951-0782

    Type: Mailing

  • 7500 SMOKE RANCH RD STE 200

    LAS VEGAS, NV 891280373

    Phone: (702) 233-0727

    Fax: (702) 233-0499

    Type: Location

  • 5503 S CONGRESS AVE STE 206

    ATLANTIS, FL 334626626

    Phone: (561) 964-1632

    Fax: (561) 964-1636

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 156 Open Payments records for all available years, with a total value of $2,967.

Total Amount is formed as General ($2,967) + Research ($0) + Ownership ($0) = $2,967.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($616).

Total Amount

$2,967

General + Research + Ownership

Payments

156

Total payment records

General Amount

$2,967

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2021-10-07

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
I20211007000101IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes394254$0
99203New patient office or other outpatient visit, 30-44 minutes170170$0
99204New patient office or other outpatient visit, 45-59 minutes8484$0
99214Established patient office or other outpatient visit, 30-39 minutes8067$0
View full utilization report →

Insurance plans in this area (ZIP 89113)

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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: 2365440567View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
Nurse PractitionerFL
-FL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL
-FL
-FL
-FL

Reviews

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Frequently asked questions

What is KELLY SUE PEREZ (RPA-C)'s NPI number?
KELLY SUE PEREZ (RPA-C)'s NPI is 1730412172 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KELLY SUE PEREZ (RPA-C)?
For scheduling context, KELLY SUE PEREZ (RPA-C) is shown as active in the registry.
How would a patient describe KELLY SUE PEREZ (RPA-C)'s focus?
For KELLY SUE PEREZ (RPA-C), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with KELLY SUE PEREZ (RPA-C)?
Directory geography for KELLY SUE PEREZ (RPA-C) centers on Las Vegas, Nevada.
When was this NPI issued?
Enumeration for KELLY SUE PEREZ (RPA-C) is noted as September 17, 2009 where the registry provides it.

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