KELLY LIME PA
NPI 1366476004
Physician Assistant in Phoenix, AZ

NPI Status: Active since July 10, 2006

Contact Information

19636 N 27TH AVE
SUITE 308
PHOENIX, AZ
ZIP 85027
Phone: (623) 780-1999
Fax: (623) 516-0950

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  • Individual
  • Female
  • Physician Assistant
  • Accepts Insurance
  • PECOS Enrolled

About KELLY LIME

This page provides the complete NPI Profile along with additional information for Kelly Lime, a primary care provider established in Phoenix, Arizona with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1366476004 assigned on July 2006. The practitioner's primary taxonomy code is 363A00000X with license number 2701 (AZ). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1366476004
Provider Name
KELLY LIME PA
Other Name
KELLY OSGOOD PA
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
19636 N 27TH AVE SUITE 308 PHOENIX, AZ 85027
Location Phone
(623) 780-1999
Location Fax
(623) 516-0950
Mailing Address
19636 N 27TH AVE SUITE 308 PHOENIX, AZ 85027
Mailing Phone
(623) 780-1999
Mailing Fax
(623) 516-0950
Is Sole Proprietor?
No
Enumeration Date
07-10-2006
Last Update Date
07-08-2007
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A primary care provider (PCP) like Kelly Lime sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2701
License State
AZ
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Standard - HMO
  • Catastrophic Standard - HMO
  • Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • BannerAetna Bronze 2 HSA: No PCP required + 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental +Vision - HMO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
75291MEDICARE ID-TYPE UNSPECIFIED (04)AZ 
P68794MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Kelly Lime is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 85027 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.89
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $21.47
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.24
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $17.31
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366476004
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126871200
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 8 + 7 + 1 + 2 + 0 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1366476004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457330615DR. VICTOR KISSIL DO
Individual
Specialist19636 N 27TH AVE SUITE 303
PHOENIX, AZ 85027
(623) 879-8161
1023048675 JILL A HOLLAND APRN
Individual
Nurse Practitioner (Adult Health)19636 N 27TH AVE SUITE 202
PHOENIX, AZ 85027
(623) 869-5000
1861571960 THOMAS G KOTOSKE DO
Individual
Otolaryngology (Otolaryngology/Facial Plastic Surgery)19636 N 27TH AVE #101
PHOENIX, AZ 85027
(623) 516-2639
1265503221MRS. SHAILAJA GUNNALA MD
Individual
Internal Medicine19636 N 27TH AVE #207
PHOENIX, AZ 85027
(623) 580-7240
1669652616THE CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION
Organization
Durable Medical Equipment & Medical Supplies19636 N 27TH AVE SUITE LL-2
PHOENIX, AZ 85027
(623) 537-5600
1619152824DR. CHUN-NAM WAI DO
Individual
Family Medicine19636 N 27TH AVE SUITE 308
PHOENIX, AZ 85027
(623) 780-1999
1003056425NORTHWEST ONCOLOGY & HEMATOLOGY, PLLC
Organization
Internal Medicine (Hematology & Oncology)19636 N 27TH AVE SUITE 303
PHOENIX, AZ 85027
(623) 879-6034
1871727677NORTH VALLEY PODIATRY, LLC
Organization
Podiatrist19636 N 27TH AVE SUITE 208
PHOENIX, AZ 85027
(602) 943-7115
1487958583ARIZONA PHARMACY, LLC
Organization
Pharmacy (Community/Retail Pharmacy)19636 N 27TH AVE SUITE 104
PHOENIX, AZ 85027
(623) 939-1120
1740587534NORTH MOUNTAIN IMAGING SPECIALISTS, LLC
Organization
Radiology (Diagnostic Radiology)19636 N 27TH AVE SUITE LL1
PHOENIX, AZ 85027
(623) 780-3751
1447227657 HAIHONG HELEN ZHAO MD
Individual
Family Medicine19636 N 27TH AVE SUITE 308
PHOENIX, AZ 85027
(623) 780-1999
1437127313DR. JOSE RENE PARKER MD
Individual
Family Medicine19636 N 27TH AVE SUITE 308
PHOENIX, AZ 85027
(623) 780-1999
1831138239DR. GREGORY ALAN BODE DO
Individual
Family Medicine19636 N 27TH AVE SUITE 308
PHOENIX, AZ 85027
(623) 780-1999
1043250756DR. STANLEY EUGENE ROBINSON MD
Individual
Family Medicine19636 N 27TH AVE STE. 308
PHOENIX, AZ 85027
(623) 780-1999
1780695452 RANDALL RAY HAMILTON NP
Individual
Nurse Practitioner (Adult Health)19636 N 27TH AVE SUITE 106
PHOENIX, AZ 85027
(623) 516-8252
1205158029ORTHOPEDIC SPECIALISTS OF NORTH AMERICA, PLLC
Organization
Orthopaedic Surgery19636 N 27TH AVE SUITE 401
PHOENIX, AZ 85027
(602) 298-8888
1225111834 LEVI PORTER PAC
Individual
Physician Assistant19636 N 27TH AVE SUITE 106
PHOENIX, AZ 85027
(623) 516-8252
1093128316THE PAIN CENTER OF ARIZONA, PC
Organization
Non-Pharmacy Dispensing Site19636 N 27TH AVE SUITE 106
PHOENIX, AZ 85027
(623) 516-8252
1033522370THE PAIN CENTER OF ARIZONA, PC
Organization
Non-Pharmacy Dispensing Site19636 N 27TH AVE SUITE 202
PHOENIX, AZ 85027
(623) 516-8252
1891791851 MARK S BILIACK MD
Individual
Anesthesiology19636 N 27TH AVE SUITE 106
PHOENIX, AZ 85027
(623) 516-8252

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366476004, enumerated in the NPI registry as an "individual" on July 10, 2006

The provider is located at 19636 N 27th Ave Suite 308 Phoenix, Az 85027 and the phone number is (623) 780-1999

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Antidote Health Plan of Arizona, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.89 with an average copayment of $21.47 for new patient appointments. Established patients should expect a typical charge of $69.24 and an average copayment of 17.31. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.