Individual provider Active NPI

Kelly Marie Miller, PA-C

  • Physician Assistant
  • Chandler, AZ
National Provider Identifier
1215631130
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9708 Issued in AZ
Practice address
525 S Chandler Village Dr
Chandler, AZ 85226-5069
Phone
(602) 648-5444
Fax
(602) 772-3801
NPI assigned
Mar 27, 2023
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9708 AZ Primary
Surgical Physician Assistant 363AS0400X 9708 AZ

Addresses

Primary practice location

525 S Chandler Village Dr
Chandler, AZ 85226-5069

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230727003330 AZ Practitioner - Physician Assistant 2264893981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115

Merit-based Incentive Payment System (MIPS)

Final score
85.65 of 100Reported as group
Quality
76.23
Promoting interoperability
100
Improvement activities
40
Cost
75.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9708AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Research and Educatoin CurrentSince Aug 1, 2023 Accepting new patients
Arizona Spine and Joint Hospital LLC Current Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Sep 10, 2024 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Sep 10, 2024 Accepting new patients
Center for Orthopedic Research and Education, LLC Physician Assistant Past Accepting new patients
Orthopedic Specialists of North America, PLLC Past Accepting new patients

Locations

525 S Chandler Village Dr
Chandler, AZ 85226
Phone (480) 750-0303

1675 E Melrose St
Ste 101103
Gilbert, AZ 85297
Phone (602) 631-3161

1500 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (866) 974-2373

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

Interoperability endpoints

  • Direct secure messaging: kellymiller@asjh.medalliesdirect.net

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1215631130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S CHANDLER VILLAGE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852265069",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9708",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "9708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.