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Active NPI 1659966166 Individual Practitioner Female Practitioner

Kaelyn Tkacik , PA-C

Physician Assistant • Maricopa, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kaelyn Tkacik, PA-C is a certified Physician Assistant practicing in Maricopa, AZ. With approximately 5 years of clinical experience since completing medical education in 2021, Kaelyn Tkacik delivers high-quality medical care to the local community at 44870 W HATHAWAY AVE STE 6.

Kaelyn Tkacik is affiliated with Enticare Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

44870 W Hathaway Ave Ste 6

Maricopa, AZ 851399600

Telephone 4802149000
Fax 4802149999
Associated Practice Facility / Clinic
🏢 Enticare Pc Facility NPI 1710014410

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Maricopa, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -1.2 yrs vs City Avg
City Avg: 6.2 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Maricopa, AZ (3711 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
71.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tkacik (5 Years) 5 Yrs
Maricopa Specialty Average (6.2 Years) 6.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
34 24 $225.10 $64.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
29 29 $366.41 $105.76

Medical Specialties & State Licenses

CMS Verified: 2025-09-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 8695

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Enticare Pc

2051 W Chandler Blvd, Chandler, AZ 852246239

Phone: 4802149000

Enticare Pc

1968 N Peart Rd, Casa Grande, AZ 851222497

Phone: 4802149000

Enticare Pc

44870 W Hathaway Ave, Maricopa, AZ 851399600

Phone: 4802149000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Alex Van Den Kolk , RPSGT, RCP

Respiratory Therapist, Certified

NPI 1134464183
Jaydan Cook , HAD

Hearing Instrument Specialist

NPI 1144082579
Katelyn Virnelson , PA-C

Physician Assistant

NPI 1144737172

Physician Assistant (Certified)

Amanda Vecellio , HAD

Hearing Instrument Specialist

NPI 1255142675
Nicole Reed , PA

Physician Assistant

NPI 1326514324

Physician Assistant

Riley Ricks , PA-C

Physician Assistant

NPI 1326889486

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location September 24, 2025

Registered at 44870 W HATHAWAY AVE STE 6, MARICOPA, AZ 851399600 (Tel: 4802149000)

📍
Updated Business Mailing Address September 24, 2025

Registered at 44870 W HATHAWAY AVE STE 6, MARICOPA, AZ 851399600 (Tel: 4802149000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2025

Physician Assistant (License #8695 in AZ)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2025

Physician Assistant

📍
Updated Business Mailing Address January 12, 2025

Registered at 3974 W ROUNDABOUT CIR, CHANDLER, AZ 852265943 (Tel: 6232399056)

👤
Provider Name / Credentials Updated January 12, 2025

Recorded as KAELYN TKACIK, PA-C

📍
Updated Practice Location October 06, 2021

Registered at 8415 N PIMA RD STE 280, SCOTTSDALE, AZ 852584488 (Tel: 4802696930)

📍
Updated Business Mailing Address October 06, 2021

Registered at 1616 N CENTRAL AVE APT 2469, PHOENIX, AZ 850041670 (Tel: 6232399056)

👤
Provider Name / Credentials Updated October 06, 2021

Recorded as KAELYN GARNER, PA-C

NPI Profile Active March 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2021

Registered at 1616 N CENTRAL AVE APT 1314, PHOENIX, AZ 850041658 (Tel: 6232399056)

📍
Updated Business Mailing Address March 05, 2021

Registered at 1616 N CENTRAL AVE APT 1314, PHOENIX, AZ 850041658 (Tel: 6232399056)

👤
Provider Name / Credentials Updated March 05, 2021

Recorded as KAELYN GARNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659966166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2021
Last Update: September 24, 2025
Sole Proprietor: Yes

Mailing Address

44870 W Hathaway Ave Ste 6

Maricopa, AZ 851399600

Phone: 4802149000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.