Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kodee Avery, PA-C

Individual provider Physician Assistant · NPI 1891501599

MS. Kodee Avery, PA-C is a Physician Assistant in Glendale, Arizona. Qualified in 2025, 1 year ago. Practices with Prescott Healthcare Solutions LLC, a 199-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2024
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

18275 N 59th Ave Ste 138
Glendale, AZ 85308-1253
Phone: (602) 564-0078
Fax: (602) 564-1154
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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 11284 (AZ)

Record details

NPI number1891501599
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 6, 2024
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address18275 N 59th Ave Ste 138, Glendale, AZ 85308-1253

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Prescott Healthcare Solutions Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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