KELLY A. CONDEFER (MD) – Neurology Physician, NPI 1134249055

KELLY A. CONDEFER (MD) is a healthcare provider. based in Wenatchee, Washington. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 230886 (NY). The NPI Number for KELLY A. CONDEFER (MD) is 1134249055

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
KELLY A. CONDEFER (MD)
NPI
1134249055
Phone
(509) 663-8711
Address
820 N CHELAN AVE
Enumeration Date
2 April 2007
Last Update Date
19 August 2013

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
5096622208
Graduation Year
2001 (25 years ago)
PAC ID
7416053145
Group Practice PAC ID
4880504596
Professional Enrollment ID
I20110615000843
Address ID
WA988013201WE1201XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

590 NEUROLOGY in WA

Provider Addresses for KELLY A. CONDEFER (MD)

  • 820 N CHELAN AVE

    WENATCHEE, WA 988012028

    Phone: (509) 663-8711

    Fax: (509) 665-5890

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2024-04-08 • Largest payer in this snapshot: SK Life Science, Inc. ($78).

Total Amount

$106

General + Research + Ownership

Payments

2

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-08

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: 2011-06-15

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
I20110615000843INeurologyWATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8787$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7252$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6852$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3938$0
99215Established patient office or other outpatient visit, 40-54 minutes2214$0
View full utilization report →

Insurance plans in this area (ZIP 98801)

Loading plans...

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: 4880504596View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineWA
Internal MedicineWA
-WA
P S Y C H I A T R YWA
Internal Medicine, NephrologyWI
O B S T E T R I C S/ G Y N E C O L O G YMT
Nurse PractitionerWA
Emergency MedicineWA
U R O L O G YWA
Family PracticeWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is KELLY A. CONDEFER (MD) identified in CMS data?
CMS-hosted NPPES data lists KELLY A. CONDEFER (MD) with NPI 1134249055.
Can I rely on KELLY A. CONDEFER (MD) being an active provider?
As of the registry snapshot, KELLY A. CONDEFER (MD) is marked active.
What is KELLY A. CONDEFER (MD)'s specialty?
The listing groups KELLY A. CONDEFER (MD) with Neurology Physician. Clinical services aligned with this taxonomy classification.
Where is KELLY A. CONDEFER (MD) based?
KELLY A. CONDEFER (MD) is tied to Wenatchee, Washington in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

SHANNON R GROSDIDIER (MD)

Neurology Physician
Wenatchee Valley Medical Center, 820, North Chelan Avenue, Wenatchee, Chelan County, Washington, 98801, United States
NPI: 1093742660

JOSEPH A TORNABENE (MD)

Neurology Physician
Wenatchee Valley Medical Center, 820, North Chelan Avenue, Wenatchee, Chelan County, Washington, 98801, United States
NPI: 1841223203

DR. CHRISTINA N LENK (MD)

Neurology Physician
4400 BROADWAY BLVD STE 520
NPI: 1225197957
Wenatchee Valley Medical Center, 820, North Chelan Avenue, Wenatchee, Chelan County, Washington, 98801, United States
NPI: 1366670143

LISA S TORAN (M.D.)

Neurology Physician
820 N CHELAN AVE
NPI: 1578838777

SUSIANI INTAN (MD)

Neuro-ophthalmology Physician
PO BOX 735044
NPI: 1114274529

SARAH STONE

Neurology Physician
820 N CHELAN AVE
NPI: 1972921682

MS. JENNIFER WAX

Neurology Physician
820 N CHELAN AVE
NPI: 1558789982

LILIYA MARATOVNA YAUSHEVA (MD)

Student in an Organized Health Care Education/Training Program
UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States
NPI: 1699260398