Casey Kelly, PA
NPI 1205076015 · Physician Assistant · Eureka, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Casey Kelly, PA is a Physician Assistant provider in Eureka, CA (NPI 1205076015).
Provider details
- NPI number
- 1205076015
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 20196 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-03-06
- Last updated
- 2017-02-10
Frequently asked questions
- What is Casey Kelly's NPI number?
- Casey Kelly's National Provider Identifier (NPI) is 1205076015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Casey Kelly's specialty?
- Casey Kelly is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Casey Kelly located?
- Casey Kelly's practice location on file with NPPES is 2200 Tydd St, Eureka, CA 95501-1284.
- What is Casey Kelly's phone number?
- The practice phone number listed in the NPPES registry for Casey Kelly is (707) 269-7051.
- Does Casey Kelly accept Medicare?
- Casey Kelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Casey Kelly's NPI active?
- Yes — Casey Kelly's NPI (1205076015) is active in the NPPES registry as of the last update on 2017-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.