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

Kevin Earlywine, PA-C

Individual provider Physician Assistant · NPI 1023083144

Kevin Earlywine, PA-C is a Physician Assistant in San Tan Valley, Arizona. Qualified in 1998, 28 years ago. Practices with Banner Urgent Care Services LLC, a 205-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
28
Licensed in
AZ
In the registry since
2006
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 →

Practice location Address checks out

40773 N Ironwood Dr
San Tan Valley, AZ 85140-7002
Phone: (602) 714-1271
Fax: (480) 987-6566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2140 (AZ)

Record details

NPI number1023083144
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 22, 2006
Last updated in NPPESApril 22, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Banner Urgent Care Services Llc — 205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

Other providers in San Tan Valley