Kelly A. Kinsley (NPI# 1013091958, PAC ID# 8123939071) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1013091958 |
| PAC ID by PECOS | 8123939071 |
| Professional Enrollment ID | I20070710000474 |
| Full Name | Kelly A. Kinsley |
| Organization Legal Name | NORTH PACIFIC DERMATOLOGY A MEDICAL CORPORATION |
| Address |
4715 Valley E Blvd Suite 3 Arcata CA 95521-3586 |
| Phone Number | 7078223376 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 4981704723 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050028 | MAD RIVER COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4715 Valley E Blvd, Suite 3, Arcata, CA 95521-3586 | 7078223376 | NORTH PACIFIC DERMATOLOGY A MEDICAL CORPORATION |
| 1575 S Railroad Ave, Crescent City, CA 95531-6821 | 7074648335212 | NORTH PACIFIC DERMATOLOGY A MEDICAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 1% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 26% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 94% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 0% |
| Organization Legal Name | NORTH PACIFIC DERMATOLOGY A MEDICAL CORPORATION |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorissa J Lorenzo-trujillo | Physician Assistant | North Pacific Dermatology A Medical Corporation | 4715 Valley E Blvd, Suite 3, Arcata, CA 95521-3586 |
| Edward H Parker | Physician Assistant | North Pacific Dermatology A Medical Corporation | 4715 Valley E Blvd, Suite 3, Arcata, CA 95521-3586 |
| Jesse Vos | Physician Assistant | North Pacific Dermatology A Medical Corporation | 4715 Valley E Blvd, Suite 3, Arcata, CA 95521-3586 |
| Street Address |
4715 VALLEY E BLVD SUITE 3 |
| City | ARCATA |
| State | CA |
| Zip | 95521-3586 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorissa J Lorenzo-trujillo | Physician Assistant | North Pacific Dermatology A Medical Corporation | 4715 Valley E Blvd, Suite 3, Arcata, CA 95521-3586 |
| Edward H Parker | Physician Assistant | North Pacific Dermatology A Medical Corporation | 4715 Valley E Blvd, Suite 3, Arcata, CA 95521-3586 |
| Jesse Vos | Physician Assistant | North Pacific Dermatology A Medical Corporation | 4715 Valley E Blvd, Suite 3, Arcata, CA 95521-3586 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Feldman | Clinical Psychologist | 1262 A Chester Ave, Arcata, CA 95521-3062 | |
| James Henry Moore | Physical Therapy | Humboldt Physical Therapy, Inc | 1551 Giuntoli Ln, Arcata, CA 95521-4495 |
| Nikki Davoodiaria | Physical Therapy | Humboldt Physical Therapy, Inc | 1551 Giuntoli Ln, Arcata, CA 95521-4495 |
| Dena Jane Manka | Physical Therapy | Humboldt Physical Therapy, Inc | 1551 Giuntoli Ln, Arcata, CA 95521-4495 |
| Margaret L Grossman | Family Medicine | 4677 Valley E Blvd, Suite 1, Arcata, CA 95521-4630 | |
| Heather L Kyte | Physician Assistant | United Indian Health Services, Inc. | 1600 Weeot Way, Arcata, CA 95521-4734 |
| Martin D Kimble | Physician Assistant | United Indian Health Services, Inc. | 1600 Weeot Way, Arcata, CA 95521-4734 |
| Grace Mcatasney | Nurse Practitioner | United Indian Health Services, Inc. | 1600 Weeot Way, Arcata, CA 95521-4734 |
| Hugh D Kent | Family Medicine | United Indian Health Services, Inc. | 1600 Weeot Way, Arcata, CA 95521-4734 |
| Anthony M Rousselot | Physician Assistant | United Indian Health Services, Inc. | 1600 Weeot Way, Arcata, CA 95521-4734 |
| Find all physicians in zip 95521 | |||
| City | ARCATA |
| Zip Code | 95521 |
| Specialty | DERMATOLOGY |
| City + Specialty | ARCATA + DERMATOLOGY |
Please comment or provide details below to improve the information on Kelly A. Kinsley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.