KELLY CHRISTINE MUTSAVAGE (PA-C) – Dermatology Physician, NPI 1487601886

KELLY CHRISTINE MUTSAVAGE (PA-C) is a healthcare provider. based in Aspinwall, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA052475 (PA). The NPI Number for KELLY CHRISTINE MUTSAVAGE (PA-C) is 1487601886

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KELLY CHRISTINE MUTSAVAGE (PA-C)
NPI
1487601886
Phone
(412) 782-3278
Address
50 Freeport Rd Ste 500
Enumeration Date
30 May 2006
Last Update Date
12 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4126873627
Graduation Year
2005 (21 years ago)
PAC ID
0840202826
Group Practice PAC ID
6709398969
Professional Enrollment ID
I20060612000054
Address ID
PA152242303PI5201XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

Provider Addresses for KELLY CHRISTINE MUTSAVAGE (PA-C)

  • 50 Freeport Rd Ste 500

    Aspinwall, PA 152152976

    Phone: (412) 782-3278

    Type: Location

  • 640, Alden Street, Neason Hill, Meadville, Crawford County, Pennsylvania, 16335, United States

    MEADVILLE, PA 163352348

    Phone: (814) 724-1252

    Fax: (814) 333-8871

    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: 2006-06-12

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
I20060612000054IPhysician AssistantPATBD

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 minutes4443$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1816$0
99214Established patient office or other outpatient visit, 30-39 minutes1312$0
71046X-ray of chest, 2 views1111$0
View full utilization report →

Insurance plans in this area (ZIP 15215)

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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: 6709398969View full group profile
NameSpecialtyState
Physician AssistantPA
Nurse PractitionerPA
Nurse PractitionerPA
Family PracticePA
Nurse PractitionerPA
Family PracticePA
Physician AssistantPA
Nurse PractitionerPA
Physician AssistantPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What is the standard ID for KELLY CHRISTINE MUTSAVAGE (PA-C) in the U.S.?
In the U.S., KELLY CHRISTINE MUTSAVAGE (PA-C) is identified by NPI 1487601886.
Is KELLY CHRISTINE MUTSAVAGE (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists KELLY CHRISTINE MUTSAVAGE (PA-C) as active.
Which specialty label fits KELLY CHRISTINE MUTSAVAGE (PA-C)?
NPPES ties KELLY CHRISTINE MUTSAVAGE (PA-C) to Dermatology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KELLY CHRISTINE MUTSAVAGE (PA-C)?
KELLY CHRISTINE MUTSAVAGE (PA-C) shows a connection to Aspinwall, Pennsylvania in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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