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

Get Directions Reviews

  • 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
P02380MEDICARE UPIN (02) 
67415MEDICARE ID-TYPE UNSPECIFIED (04)AZ 
623307MEDICAID (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

Reviews for COURTNEY G KELM PAC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1619948064
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262918416012
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 = 44

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
Specialist725 S DOBSON RD SUITE 200
CHANDLER, AZ 85224
(480) 899-7546
1801951256ARIZONA HEART INSTITUTE CHANDLER
Organization
Internal Medicine (Clinical Cardiac Electrophysiology)725 S DOBSON RD SUITE 100
CHANDLER, AZ 85224
(480) 814-0266
1669700993PREMIER CARDIOVASCULAR CENTER, PLC
Organization
Internal Medicine (Cardiovascular Disease)725 S DOBSON RD SUITE 100
CHANDLER, AZ 85224
(480) 814-0266
1477538999PHOENIX DIAGNOSTIC IMAGING INC
Organization
Radiology (Diagnostic Radiology)725 S DOBSON RD
CHANDLER, AZ 85224
(480) 812-1705
1760733455SMI IMAGING, LLC
Organization
Radiology (Diagnostic Radiology)725 S DOBSON RD SUITE 105
CHANDLER, AZ 85224
(480) 812-1705
1831149103DR. 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
1972912699ARIZONA SPINE AND PAIN SPECIALISTS LLC
Organization
Durable Medical Equipment & Medical Supplies725 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
1184681132SKIN AND CANCER CENTER OF ARIZONA PC
Organization
Dermatology725 S DOBSON RD STE 200
CHANDLER, AZ 85224
(480) 899-7546
1134239080 JOAN ALTMAN PAC
Individual
Physician Assistant725 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
Dermatology725 S DOBSON RD SUITE 200
CHANDLER, AZ 85224
(480) 899-7546
1306067640DR. EDWARD PRODANOVIC M.D.
Individual
Dermatology725 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
1659764108MS. 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
Dermatology725 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.