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

Kelley Hilton

Individual provider Athletic Trainer · NPI 1780014175

Kelley Hilton is a Physician Assistant in Santa Rosa, California. Qualified in 2021, 5 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California, Maine and New York.

Years since qualifying
5
Licensed in
CA, ME, NY
In the registry since
2013
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

525 Doyle Park Dr Ste 101
Santa Rosa, CA 95405-4562
Phone: (707) 525-6620
Fax: (707) 693-7040
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

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 027030 (NY)
Athletic Trainer Taxonomy 2255A2300X · Licence AT469 (ME)
Physician Assistant Taxonomy 363A00000X · Licence 62928 (CA)

Record details

NPI number1780014175
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 21, 2013
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address525 Doyle Park Dr Ste 101, Santa Rosa, CA 95405-4562

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 Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Rosa