Kelly Pavelich, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0004674 Issued in CO

Practice address

9101 Harlan St
Suite 155
Westminster, CO 80031-2924

Phone

(303) 426-5000

Fax

(303) 426-5031

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of Colorado PCGroup PAC ID 8325337330, 65 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.78 of 100Reported as group

Quality

80

Promoting interoperability

84

Improvement activities

40

Cost

75.92

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Advanced Dermatology of Colorado, PC

  • Dermatology Physician
  • Fort Collins, CO
  • NPI 1710370648
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1265883227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 HARLAN ST",
            "address_2": "SUITE 155",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312924",
            "telephone_number": "303-426-5000",
            "fax_number": "303-426-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 HARLAN ST",
            "address_2": "SUITE 155",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312924",
            "telephone_number": "303-426-5000",
            "fax_number": "303-426-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVELICH",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne A Paterson, NP
• Niraj Patrawala, PH.D.
• Ashleigh Rose Patrick, DO
• Julie Pattison, RN
• Tara Leann Pauls, RN
• Joanna Lopez Pavlik, PHARMD
• Dana Payne, PA-C
• Devon Payne, RDH
• Melody Payne, LMT
• Naul Paz, O.D.

• Physician Assistant in Westminster, CO
• Providers in Westminster, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.