Doctor profile · Federal record
Dr. KELSEY THAYER, PA-C
Physician Assistant · SANTA ROSA, CA
- NPI 1740966449
- 3 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1111 SONOMA AVE STE 210
SANTA ROSA, CA 954054833
(707) 324-3241 - Mailing address
-
5 DARYL AVE
NOVATO, CA 949471947
Credentials & registration
- NPI registered
- June 2023 — 3 yrs on file
- Specialty taxonomy
- 363A00000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1740966449. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$486
Transactions
18
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Smith+Nephew, Inc. | 17 | $453.63 | |
| MIMEDX Group, Inc. | 1 | $32.02 |