Individual provider Active NPI

Kelly Oneill, PA-C

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1477799310
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003100 Issued in CO
Practice address
13650 E Mississippi Ave
Aurora, CO 80012-3561
Phone
(303) 695-8684
NPI assigned
Dec 24, 2008
Last updated
Jan 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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 1038 AK
Physician Assistant 363A00000X PA.0003100 CO Primary

Addresses

Primary practice location

13650 E Mississippi Ave
Aurora, CO 80012-3561

Mailing address

13650 E Mississippi Ave
Aurora, CO 80012-3561
Phone (303) 695-8684

Other practice location 1

3455 Ringsby Ct Ste 102
Denver, CO 80216-4923
Phone (303) 500-1518

Other identifiers 2

IdentifierTypeStateIssuer
1477799310MedicaidMT
0000901753OtherMTBLUE CROSS BLUE SHIELD OF MONTANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, CA, AZ, VA, MA, DC, NV, UT9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20091205000198 TX Practitioner - Physician Assistant 0446317515
I20111216000702 CO Practitioner - Physician Assistant 0446317515 Reassigns benefits to 2 organizations
I20220113002338 CA Practitioner - Physician Assistant 0446317515 Reassigns benefits to 1 organization
I20220121002222 AZ Practitioner - Physician Assistant 0446317515 Reassigns benefits to 1 organization
I20220331000712 VA Practitioner - Physician Assistant 0446317515 Reassigns benefits to 1 organization
I20220414001019 MA Practitioner - Physician Assistant 0446317515 Reassigns benefits to 1 organization
I20220613002249 DC Practitioner - Physician Assistant 0446317515 Reassigns benefits to 1 organization
I20231205001703 NV Practitioner - Physician Assistant 0446317515
I20240723001012 UT Practitioner - Physician Assistant 0446317515

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dispatchhealth Massachusetts PCGroup PAC ID 0840542791, 22 clinicians
Dispatchhealth-Ca PCGroup PAC ID 4789086455, 29 clinicians
True North Health Navigation LLCGroup PAC ID 5294960696, 57 clinicians
Dispatchhealth-ArizonaGroup PAC ID 7810268422, 27 clinicians

Practice addresses (Care Compare)

123 Park Ave
West Springfield, MA 01089-3337
Phone (413) 998-1980

140 Centennial Way
Tustin, CA 92780-3711
Phone (706) 315-2523

1951 Kidwell Dr
Suite 101
Vienna, VA 22182-3930
Phone (702) 848-4443

4602 E University Dr
Suite 150
Phoenix, AZ 85034-7423
Phone (480) 493-3444

567 Southbridge St
Suite 10
Auburn, MA 01501-2269
Phone (303) 500-1518

5735 Sunrise Blvd
Citrus Heights, CA 95610-7623
Phone (303) 500-1518

5825 Delmonico Dr
Suite 101
Colorado Springs, CO 80919-2242
Phone (706) 315-2523

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
74.27
Improvement activities
40
Cost
63.66

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

Merit-based Incentive Payment System (MIPS)

Final score
56.11 of 100Reported as group
Quality
50.63
Improvement activities
40
Cost
27.55

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60407CAMDDentist
1038AKMDGeneral Practice Dentistry
563MTMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Jul 1, 2024 Accepting new patients
True North Health Navigation LLC CurrentSince Jan 27, 2020 Accepting new patients
Dispatchhealth-Arizona CurrentSince Jan 10, 2022 Accepting new patients
US Dept of HHS Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients
Excella Home Health Agency, LLC Past Accepting new patients
Professional Portable Radiologic Services Inc. Past Accepting new patients
Professional Portable Radiologic Services Inc. PastSince Oct 9, 2022 Accepting new patients

Locations

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

5825 Delmonico Dr
Ste 101
Colorado Springs, CO 80919
Phone (706) 315-2523

3455 Ringsby Ct
Ste 102
Denver, CO 80216
Phone 3035001518 ext. 30350

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

5187 S Ascension Way
Ste 175
Murray, UT 84123

8000 Westpark Dr
Ste 130
Mc Lean, VA 22102
Phone (702) 848-4443

7200 Glen Forest Dr
Ste 106
Richmond, VA 23226
Phone (804) 495-0053

Interoperability endpoints

  • Direct secure messaging: kelly.oneill.1@13869.direct.athenahealth.com

Organizations & group practices 12

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": "1230076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1477799310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13650 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123561",
            "telephone_number": "303-695-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123561",
            "telephone_number": "303-695-8684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Ringsby Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802164923",
            "country_code": "US",
            "telephone_number": "303-500-1518",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONEILL",
        "first_name": "KELLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-24",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "1038",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477799310",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MONTANA",
            "identifier": "0000901753",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.