KELSEY COLLEY, PA-C — NPI 1457865370 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical in MAYFIELD, KY)

CMS-1500 Box 24J / 33a • NPI

1457865370

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363AM0700X (CMS 97)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical

Box 32 Service Location & ZIP+4

1019 PADUCAH RD STE C, MAYFIELD, KY, 42066-3616

✓ 9-Digit EDI 837 ZIP+4 (42066-3616)

Practice Phone & Referral Fax

(502) 565-9737

Fax: (270) 477-0007

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1457865370 (KELSEY COLLEY, PA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1457865370` (NPI-1 Individual Practitioner)
Provider / Legal Name	KELSEY COLLEY, PA-C
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical NUCC Code: `363AM0700X` (Physician Assistant, Medical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1019 PADUCAH RD STE C, MAYFIELD, KY, 42066-3616
Practice Telephone / Fax	Tel: (502) 565-9737 \| Fax: (270) 477-0007
Administrative Mailing Address	5050 VILLAGE SQUARE DR STE B, PADUCAH, KY, 42001-7552
Enumeration & Last Sync	Enumerated: 2017-11-30 \| CMS Record Updated: 2026-07-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1019 PADUCAH RD STE C, MAYFIELD, KY, 42066-3616

🗺️ Open in Google Maps 🏥 More Providers in MAYFIELD

🔒 Are you KELSEY COLLEY, PA-C? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (363AM0700X)

What Does Taxonomy Code 363AM0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AM0700X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 97 (Physician Assistant)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physician Assistant, Medical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KELSEY COLLEY, PA-C)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363AM0700X` — Physician Assistant, Medical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical	State: TN \| License: `3443` \| Primary: Secondary
`363AM0700X` — Physician Assistant, Medical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical	State: KY \| License: `PA3011` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

KELSEY COLLEY, PA-C (NPI #1457865370)