Kelsie Lynne Hilty, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

652262 Issued in CA

Practice address

4735 Hamilton Ave Ste 80
San Jose, CA 95130-1769

Phone

(214) 404-1777

NPI assigned

Oct 19, 2024

Last updated

Oct 19, 2024By the provider in NPPES

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 CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1285455501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 MOONGATE PL",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202031",
            "telephone_number": "214-404-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 HAMILTON AVE STE 80",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301769",
            "telephone_number": "214-404-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILTY",
        "first_name": "KELSIE",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-19",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "652262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra A Hillhouse, LMFT
• Kerry Hillier, M.ED., BCBA
• Adelina Lin Hills, MA
• Christina Hillson, M.D.
• Dale Hiltgen, MD
• Aaron Himor
• Janeya Hines
• Michelle Hines
• Frederick Scott Hing, M.D., PH.D.
• Susan Mary Hiniker, M.D.

• Physician Assistant in San Jose, CA
• Providers in San Jose, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.