Kylie Truncellito, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5301 E Grant Rd
Tucson, AZ 85712-2805

Phone

(520) 327-5461

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kelly H Roy MD PCGroup PAC ID 3476526724, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: kylie.truncellito.1@2541.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kelly H. Roy, MD, PC

  • Gynecology Physician
  • Phoenix, AZ
  • NPI 1003099367
  Medicare reassignment Care Compare group
• Ies Arizona PLLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1821752213
  Medicare reassignment
• Ies Obs Arizona PLLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1356006670
  Medicare reassignment
• WD Recovery and Wellness Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1669986998

  Multi-Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1144969320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16176 W POINSETTIA DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853791127",
            "telephone_number": "623-302-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122805",
            "telephone_number": "520-327-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10585 N Tatum Blvd Ste D130",
            "address_purpose": "LOCATION",
            "city": "Paradise Valley",
            "state": "AZ",
            "postal_code": "852531073",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1151 N Gilbert Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852035127",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 E Bell Rd Ste 119",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850226639",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 E Highland Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164876",
            "country_code": "US",
            "telephone_number": "602-358-8588",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 E McDowell Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062603",
            "country_code": "US",
            "telephone_number": "602-358-8858",
            "fax_number": "602-688-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850042157",
            "country_code": "US",
            "telephone_number": "602-827-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUNCELLITO",
        "first_name": "KYLIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micaela M Trujillo, BS, RBT
• Ruth Trujillo
• Victor Elias Trujillo, DDS
• Jeffrey Howard Trumbull
• Kay Terese Trumbull
• Danh Truong, M.D.
• Elaine Yen Truong, PHARM.D.
• Huu Tam Truong, MD
• Khanh Lan Truong, PHARM D
• Laurel Christine Truscott, M.D.

• Physician Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.