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

Kelly D Chavez, PA-C

Individual provider Physician Assistant · NPI 1356329379

Kelly D Chavez, PA-C is a Physician Assistant in Casa Grande, Arizona. Qualified in 2003, 23 years ago. Practices with Az Dermatology LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Arizona, New Mexico and Texas.

Years since qualifying
23
Licensed in
AZ, NM, TX
In the registry since
2006
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 may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

1729 N Trekell Rd Ste 124
Casa Grande, AZ 85222
Phone: (520) 421-7100

No coordinates on file. Search this address in Google Maps

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4885 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA2004-0001 (NM)
Physician Assistant Taxonomy 363A00000X · Licence PA06592 (TX)

Record details

NPI number1356329379
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 9, 2006
Last updated in NPPESSeptember 13, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Az Dermatology Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Casa Grande