Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225622293 Individual Practitioner Female Practitioner

Kelley Ruth Ward , PA-C

Physician Assistant • Sandy, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelley Ward, PA-C is a certified Physician Assistant practicing in Sandy, OR. With approximately 4 years of clinical experience since completing medical education in 2022, Kelley Ward delivers high-quality medical care to the local community at 17055 RUBEN LN.

Kelley Ward is affiliated with Legacy Clinics Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17055 Ruben Ln

Sandy, OR 970559276

Telephone 5036688002
Associated Practice Facility / Clinic
🏢 Legacy Clinics Llc Facility NPI 1902827272

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sandy, OR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -2.3 yrs vs City Avg
City Avg: 6.3 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Sandy, OR (2106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ward (4 Years) 4 Yrs
Sandy Specialty Average (6.3 Years) 6.3 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
99285 Emergency department visit for life threatening or functioning severity
54 52 $878.00 $144.86
99284 Emergency department visit with moderate level of medical decision making
30 29 $589.00 $100.03

Medical Specialties & State Licenses

CMS Verified: 2025-07-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA213070

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

Legacy Clinics Llc

24800 Se Stark St, Gresham, OR 970303378

Phone: 5034138988

Legacy Clinics Llc

1130 Nw 22nd Ave, Portland, OR 972102969

Phone: 5034138988

Legacy Clinics Llc

25050 Se Stark St, Gresham, OR 970303383

Phone: 5036741848

Legacy Clinics Llc

25050 Se Stark St, Gresham, OR 970303383

Phone: 5036741520

Secondary Practice Locations

2730 S Moody Ave

Portland, OR 972015042

Phone: 5034943633

19250 Sw 65th Ave Ste 260

Tualatin, OR 97062

Phone: 5034135525

Practice Associates & Co-Workers

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

15 Associated Practitioners
Elizabeth Pacarro , APRN

Nurse Practitioner - Family

NPI 1023171725

Advanced Practice Registered Nurse

Dr. Michael Pinn , MD

Family Medicine

NPI 1053346072

Doctor of Medicine (M.D.)

Hien Bowden , NP

Nurse Practitioner - Family

NPI 1164706313

Nurse Practitioner

NPI 1285674499

Doctor of Medicine (M.D.)

Jonna Hobbs , FNP

Nurse Practitioner - Family

NPI 1427253111

Family Nurse Practitioner

NPI 1477565026

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address July 09, 2025

Registered at PO BOX 3777, PORTLAND, OR 972083777

📍
Updated Practice Location June 18, 2024

Registered at 17055 RUBEN LN, SANDY, OR 970559276 (Tel: 5036688002)

📍
Updated Business Mailing Address June 18, 2024

Registered at 17055 RUBEN LN, SANDY, OR 970559276 (Tel: 5036688002)

👤
Provider Name / Credentials Updated June 18, 2024

Recorded as KELLEY WARD, PA-C

NPI Profile Active February 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2021

Registered at 2730 S MOODY AVE, PORTLAND, OR 972015042 (Tel: 5034943633)

📍
Updated Business Mailing Address February 21, 2021

Registered at 2730 S MOODY AVE, PORTLAND, OR 972015042

👤
Provider Name / Credentials Updated February 21, 2021

Recorded as KELLEY GIROUARD, PA-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 21, 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: 1225622293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2021
Last Update: July 09, 2025
Sole Proprietor: No

Mailing Address

Po Box 3777

Portland, OR 972083777

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.