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

Kelly Roberts, PA-C

Individual provider Physician Assistant · NPI 1699382465

Kelly Roberts, PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 2020, 6 years ago. Practices with Palm Medical Group LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
6
Licensed in
NV
In the registry since
2020
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

4750 W Oakey Blvd Ste 3A
Las Vegas, NV 89102-1535
Phone: (702) 877-5199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2374 (NV)

Record details

NPI number1699382465
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2020
Last updated in NPPESDecember 4, 2020
Certification dateDecember 4, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Palm Medical Group Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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