KATELYN TAYLOR KELTNER (PA) – Physician Assistant, NPI 1780211334

KATELYN TAYLOR KELTNER (PA) is a healthcare provider. based in Raymore, Missouri. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 2020028651 (MO). The NPI Number for KATELYN TAYLOR KELTNER (PA) is 1780211334

Main info

Female
Name
KATELYN TAYLOR KELTNER (PA)
NPI
1780211334
Phone
(816) 813-0607
Address
303 N FOXRIDGE DR APT 205
Enumeration Date
24 March 2020
Last Update Date
20 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for KATELYN TAYLOR KELTNER (PA)

  • 303 N FOXRIDGE DR APT 205

    RAYMORE, MO 640837833

    Phone: (816) 813-0607

    Type: Mailing

  • 1950 DIAMOND PKWY

    NORTH KANSAS CITY, MO 641164328

    Phone: (816) 561-3003

    Fax: (816) 889-1584

    Type: Location

  • 3200 GRAND AVE

    DES MOINES, IA 503124104

    Phone: (515) 271-1569

    Type: Location

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: 2023-02-22

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
I20230222000426IPhysician AssistantKSTBD

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

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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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg28558$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg13456$0
99213Established patient office or other outpatient visit, 20-29 minutes8281$0
99203New patient office or other outpatient visit, 30-44 minutes7070$0
20610Aspiration and/or injection of fluid from large joint6060$0
View full utilization report →

Insurance plans in this area (ZIP 64083)

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Reviews

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Frequently asked questions

What is the registry number for KATELYN TAYLOR KELTNER (PA)?
The registry entry for KATELYN TAYLOR KELTNER (PA) shows NPI 1780211334.
Is KATELYN TAYLOR KELTNER (PA)'s NPI status active today?
Active status means KATELYN TAYLOR KELTNER (PA)'s NPI record is not deactivated in the public file.
Which specialty label fits KATELYN TAYLOR KELTNER (PA)?
NPPES ties KATELYN TAYLOR KELTNER (PA) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATELYN TAYLOR KELTNER (PA)?
KATELYN TAYLOR KELTNER (PA) is associated with Raymore, Missouri in the same public data insurers reference.
Why is information missing for KATELYN TAYLOR KELTNER (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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