KELLY WULF (PA-C) – Medical Physician Assistant, NPI 1750654323
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for KELLY WULF (PA-C)
2565 NW LOVEJOY ST
SUITE 100
PORTLAND, OR 972102996
Phone: (503) 279-9700
Fax: (503) 279-8114
Type: Location
8614 E MILL PLAIN BLVD
STE 400
VANCOUVER, WA 986642092
Phone: (360) 254-5267
Fax: (360) 254-6089
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,515.
Total Amount is formed as General ($1,515) + Research ($0) + Ownership ($0) = $1,515.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($240).
Total Amount
$1,515
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,515
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $240 |
| E.R. Squibb & Sons, L.L.C. | $216 |
| Lilly USA, LLC | $202 |
| GENZYME CORPORATION | $182 |
| Novartis Pharmaceuticals Corporation | $159 |
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: 2013-12-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131206000061 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 525 | 121 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 291 | 272 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 198 | 177 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 138 | 130 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 104 | 104 | $0 |
Insurance plans in this area (ZIP 97210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OR | |
| Physician Assistant | OR | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Physician Assistant | NM | |
| - | WI | |
| D E R M A T O L O G Y | OR |
Reviews
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