Kaylina Kelley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PAC1011 Issued in ND

Practice address

1451 44TH Ave S Ste E
Grand Forks, ND 58201-3434

Phone

(701) 787-5800

Fax

(701) 787-5802

NPI assigned

Jun 19, 2023

Last updated

Jun 19, 2023By 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 ND

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

University of North Dakota School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christian Unity Hospital CorporationGroup PAC ID 8123925401, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Altru's Home Health Home health agency, Grand Forks, ND, CCN 357014
• Unity Medical Center Hospital, Grafton, ND, CCN 351320
• Altru Hospital Hospital, Grand Forks, ND, CCN 350019

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Christian Unity Hospital Corporation

  dba Unity Medical Center

  • Critical Access Hospital
  • Grafton, ND
  • NPI 1245216852
  Medicare reassignment Care Compare group NPD
• Christian Unity Hospital Corporation

  dba Grafton Family Clinic

  • Rural Health Clinic/Center
  • Grafton, ND
  • NPI 1558423665
  Medicare reassignment
• William Noyes, MD PC

  dba Cancer Center of North Dakota

  • Hematology & Oncology Physician
  • Grand Forks, ND
  • NPI 1245332311
  Medicare reassignment
• Christian Unity Hospital Corporation

  dba Park River Family Clinic

  • Rural Health Clinic/Center
  • Park River, ND
  • NPI 1821637828
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  Care Compare affiliation
• Altru Health System

  dba Altru Home Health

  • Home Health Agency
  • Grand Forks, ND
  • NPI 1346339850
  Care Compare affiliation
• Christian Unity Hospital Corporation

  dba Unity Medical Center

  • Critical Access Hospital
  • Grafton, ND
  • NPI 1245216852
  Care Compare affiliation

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1780369686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 44TH AVE S STE E",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013434",
            "telephone_number": "701-787-5800",
            "fax_number": "701-787-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 44TH AVE S STE E",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013434",
            "telephone_number": "701-787-5800",
            "fax_number": "701-787-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KAYLINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC1011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelynn Kazmierczak
• McKayla Dawn Kearney
• Tina M Kegler
• Beverly Keihn
• Brooke E Keller, SLP
• Holli Jo Marie Kells, DC
• Daniel L Kelly, DDS
• Gregory Mark Kelly
• Sheila B Kemnitz-Hartje, OTR/L
• Walter Loren Kemp, MD, PHD

• Physician Assistant in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.