COURTNEY G KELM PAC
NPI 1619948064
Physician Assistant - Medical in Chandler, AZ
NPI Status: Active since February 01, 2006
Contact Information
725 S DOBSON RD
STE 100
CHANDLER, AZ
ZIP 85224
Phone: (602) 795-8700
Fax: (602) 795-8701
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
- Opted-Out Medicare
About COURTNEY KELM
This page provides the complete NPI Profile along with additional information for Courtney Kelm, a primary care provider established in Chandler, Arizona with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1619948064 assigned on February 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 2515 (AZ). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1619948064
- Provider Name
- COURTNEY G KELM PAC
- Other Name
- COURTNEY G MCDANIEL PA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 725 S DOBSON RD STE 100 CHANDLER, AZ 85224
- Location Phone
- (602) 795-8700
- Location Fax
- (602) 795-8701
- Mailing Address
- 20280 N 59TH AVE STE 115-617 GLENDALE, AZ 85308
- Mailing Phone
- (602) 795-8700
- Mailing Fax
- (602) 795-8701
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-01-2006
- Last Update Date
- 12-16-2015
- Code Navigator
A primary care provider (PCP) like Courtney Kelm 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 .
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Courtney Kelm opted out of Medicare effective on 10-01-2019 until 10-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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 Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2515
- License State
- AZ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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 |
---|---|---|---|
P02380 | MEDICARE UPIN (02) | ||
67415 | MEDICARE ID-TYPE UNSPECIFIED (04) | AZ | |
623307 | MEDICAID (05) | AZ |
Medicare Participation & PECOS Enrollment Status
Courtney Kelm 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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2019
Opt-Out End Date: 10-01-2025
Eligible to Order and Refer? 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
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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. | |||||||||
1 | 6 | 1 | 9 | 9 | 4 | 8 | 0 | 6 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 2 | 9 | 18 | 4 | 16 | 0 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 2 + 9 + 1 + 8 + 4 + 1 + 6 + 0 + 1 + 2 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1619948064 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 |
---|---|---|---|
1780685669 | ASHOK C SOLSI MD Individual | Internal Medicine (Cardiovascular Disease) | 725 S DOBSON RD SUITE 100 CHANDLER, AZ 85224 (480) 814-0266 |
1265452601 | BOGNA MALGORZATA NOWAK M.D. Individual | Specialist | 725 S DOBSON RD SUITE 200 CHANDLER, AZ 85224 (480) 899-7546 |
1801951256 | ARIZONA HEART INSTITUTE CHANDLER Organization | Internal Medicine (Clinical Cardiac Electrophysiology) | 725 S DOBSON RD SUITE 100 CHANDLER, AZ 85224 (480) 814-0266 |
1669700993 | PREMIER CARDIOVASCULAR CENTER, PLC Organization | Internal Medicine (Cardiovascular Disease) | 725 S DOBSON RD SUITE 100 CHANDLER, AZ 85224 (480) 814-0266 |
1477538999 | PHOENIX DIAGNOSTIC IMAGING INC Organization | Radiology (Diagnostic Radiology) | 725 S DOBSON RD CHANDLER, AZ 85224 (480) 812-1705 |
1760733455 | SMI IMAGING, LLC Organization | Radiology (Diagnostic Radiology) | 725 S DOBSON RD SUITE 105 CHANDLER, AZ 85224 (480) 812-1705 |
1831149103 | DR. BRUCE W KRELL DPM Individual | Podiatrist (Foot & Ankle Surgery) | 725 S DOBSON RD STE 203 CHANDLER, AZ 85224 (480) 807-8532 |
1417296310 | VANESSA MICHAEL PA-C Individual | Physician Assistant (Medical) | 725 S DOBSON RD STE 200 CHANDLER, AZ 85224 (480) 899-7546 |
1972912699 | ARIZONA SPINE AND PAIN SPECIALISTS LLC Organization | Durable Medical Equipment & Medical Supplies | 725 S DOBSON RD STE 100 CHANDLER, AZ 85224 (602) 795-8700 |
1932100831 | LYNDON C XAVIER MD Individual | Internal Medicine (Cardiovascular Disease) | 725 S DOBSON RD SUITE 100 CHANDLER, AZ 85224 (480) 814-0266 |
1508088196 | TRISTAN PICO MD Individual | Anesthesiology (Pain Medicine) | 725 S DOBSON RD STE 100 CHANDLER, AZ 85224 (602) 795-8700 |
1184681132 | SKIN AND CANCER CENTER OF ARIZONA PC Organization | Dermatology | 725 S DOBSON RD STE 200 CHANDLER, AZ 85224 (480) 899-7546 |
1134239080 | JOAN ALTMAN PAC Individual | Physician Assistant | 725 S DOBSON RD SUITE 200 CHANDLER, AZ 85224 (480) 899-7546 |
1073626016 | BETH ANN LOPEZ MPAS, PA-C Individual | Physician Assistant (Medical) | 725 S DOBSON RD SUITE 200 CHANDLER, AZ 85224 (480) 899-7546 |
1235153818 | BURRELL HARVEY WOLK M.D. Individual | Dermatology | 725 S DOBSON RD SUITE 200 CHANDLER, AZ 85224 (480) 899-7546 |
1306067640 | DR. EDWARD PRODANOVIC M.D. Individual | Dermatology | 725 S DOBSON RD CHANDLER, AZ 85224 (480) 899-7546 |
1326239120 | JOSEPH PETER JANIK M.D Individual | Dermatology (MOHS-Micrographic Surgery) | 725 S DOBSON RD SUITE 200 CHANDLER, AZ 85224 (480) 899-7546 |
1659764108 | MS. LAURIE ANNE QUATTRO PA-C Individual | Physician Assistant (Medical) | 725 S DOBSON RD CHANDLER, AZ 85224 (480) 899-7546 |
1669634200 | NEIL F FERNANDES M.D. Individual | Dermatology | 725 S DOBSON RD STE 200 CHANDLER, AZ 85224 (480) 899-7546 |
1902180656 | HILARY KRISTIN REZNICK PA-C Individual | Physician Assistant (Medical) | 725 S DOBSON RD ST 200 CHANDLER, AZ 85224 (480) 899-7546 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619948064, enumerated in the NPI registry as an "individual" on February 01, 2006
The provider is located at 725 S Dobson Rd Ste 100 Chandler, Az 85224 and the phone number is (602) 795-8700
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Medicare and Medicaid. 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.
No, the provider signed an affidavit on October 01, 2019 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2025.
This NPI record was last updated on February 01, 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.