Individual provider Active NPI

Kelly Lynne Batz, PA-C

  • Physician Assistant
  • San Jose, CA
National Provider Identifier
1598261612
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54975 Issued in CA
Practice address
1887 Monterey Hwy
San Jose, CA 95112-6192
Phone
(408) 288-3800
NPI assigned
Apr 5, 2018
Last updated
Apr 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 54975 CA Primary

Addresses

Primary practice location

1887 Monterey Hwy
San Jose, CA 95112-6192

Mailing address

1887 Monterey Hwy
San Jose, CA 95112-6192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190529000445 CA Practitioner - Physician Assistant 6406199884
I20240508000665 NY Practitioner - Physician Assistant 6406199884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

18 Courtney Dr
Fairport, NY 14450-3338
Phone (585) 421-7537

1867 Empire Blvd
Webster, NY 14580-1910
Phone (585) 347-3689

233 Winton Rd N
Rochester, NY 14610-1229
Phone (585) 441-3914

3648 Dewey Ave
Rochester, NY 14616-3024
Phone (585) 786-3503

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031503NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Jun 11, 2024 Accepting new patients
Carbon Health Primary Care of California PC PastSince May 1, 2023 Accepting new patients

Locations

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

1867 Empire Blvd
Webster, NY 14580
Phone (585) 347-3689

Organizations & group practices 2

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": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1598261612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 MONTEREY HWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 MONTEREY HWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126192",
            "telephone_number": "408-288-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATZ",
        "first_name": "KELLY",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.