Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelsey Charlotte O'Mara, PA-C

Individual provider Physician Assistant · NPI 1376871426

Kelsey Charlotte O'Mara, PA-C is a Physician Assistant in Louisville, Kentucky. Qualified in 2009, 17 years ago. Practices with Commonwealth Pain Associates PLLC, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
17
Licensed in
IN, KY
In the registry since
2009
Specialties on file
2
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

120 Executive Park
Louisville, KY 40207-4201
Phone: (502) 855-7200
Fax: (502) 855-7201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 — (270) 506-3300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1333 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 10001499A (IN)

Record details

NPI number1376871426
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2009
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Commonwealth Pain Associates Pllc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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