Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaelyn Tkacik, PA-C

Individual provider Physician Assistant · NPI 1659966166

Kaelyn Tkacik, PA-C is a Physician Assistant in Maricopa, Arizona. Qualified in 2021, 5 years ago. Practices with Enticare PC, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

44870 W Hathaway Ave Ste 6
Maricopa, AZ 85139-9600
Phone: (480) 214-9000
Fax: (480) 214-9999
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8695 (AZ)
Physician Assistant Taxonomy 363A00000X (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659966166
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 5, 2021
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address44870 W Hathaway Ave Ste 6, Maricopa, AZ 85139-9600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Enticare Pc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Maricopa