Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelley Hartman, PA-C

Individual provider Physician Assistant · NPI 1497537377

Kelley Hartman, PA-C is a Physician Assistant in Phoenix, Arizona. Graduated from Mercy College in 2016, 10 years ago. Practices with Regency Skin Institute PLLC, a 14-clinician group and works from 2 locations. Licensed in Arizona.

Years since qualifying
10
Trained at
Mercy College
Licensed in
AZ
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4530 E Muirwood Dr Ste 111
Phoenix, AZ 85048-7693
Phone: (480) 961-2365
Fax: (480) 961-2382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3008 N Dobson Rd, Chandler, AZ 85224-1295 — (480) 535-2424

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6461 (AZ)

Record details

NPI number1497537377
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 16, 2023
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 2016 (10 years in practice)
Group practice Regency Skin Institute Pllc — 14 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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