Kellie A. Dudy, PA-C
NPI 1740419621ActiveIndividual· Physician Assistant· Fresno, CA
Physician Assistant (PA-C) with Sharp Rees-Stealy Medical Group Inc, practicing in Fresno, California. 209 Medicare patients in 2024, $14,513 paid; nearly all of their 355 Part D prescriptions were generic (95%).
Overview
| NPI | 1740419621 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 13, 2009 |
| Last updated in NPPES | Oct 13, 2020 |
| Certified by provider | Oct 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA20407 | CA |
| Physician Assistant, Surgical | 363AS0400X | PA20407 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 209 |
|---|---|
| Services billed | 225 across 12 procedure codes |
| Paid by Medicare | $14,513 |
Part D prescriptions in 2024
| Prescriptions (claims) | 355 · 355 30-day fills |
|---|---|
| Patients | 249 |
| Total drug cost | $8,934 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Sharp Rees-Stealy Medical Group IncSan Diego, CA · 884 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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