NPPES file of Aug 9, 2026

Dylan James Kertzie

Physician Assistant · Glendale, AZ

Dylan James Kertzie is a physician assistant with a practice address in Glendale, Arizona, and NPI 1265318224, issued on Aug 14, 2025. Check the license with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1265318224
Name
Dylan James Kertzie
Primary taxonomy
Physician Assistant 363A00000X
Practice location
5601 W Eugie Ave Ste 100, Glendale, AZ 85304
Phone
(602) 298-8888
Enumerated
Aug 14, 2025
Record last updated
Aug 14, 2025
Medicare enrollment
Enrolled (PECOS I20251218003839); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 5601 W Eugie Ave Ste 100

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Shasta Henderson, MDOrthopaedic Trauma Physician1316383953
  2. Denise Lopez, PA-CPhysician Assistant1073628418
  3. Deric Nye, D.O.Pediatric Orthopaedic Surgery Physician1699014464

Verify Dylan James Kertzie in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Banner Physician Specialists Arizona LLCGlendale, AZ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Dylan James Kertzie among 3,666 physician assistant records in Arizona

Dylan James Kertzie is one of 3,666 physician assistant records with a practice address in Arizona. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 90% of them.

  • NPI issued2025 · 90% of these records are older, 4% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated2024 · median 2018 among the 2,207 with a school on file
  • Record last updated2025 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

168 physician assistant records list a practice address in Glendale

They are 168 of the 5,447 NPPES records with a practice address in Glendale, and 3,666 physician assistant records in Arizona.

The 8 physician assistant records with the nearest ZIP codes

  1. Ashley Berdan, PA-CGlendale, AZ 853041487276069
  2. Karissa Coates, PAGlendale, AZ 853041649012386
  3. Maurisa Konya, P.A.Glendale, AZ 853041356324834
  4. Denise Lopez, PA-CGlendale, AZ 853041073628418
  5. Ruth Montoya, PA-CGlendale, AZ 853041437744950
  6. Nicole Nwobodo, PA-CGlendale, AZ 853041619290822
  7. Caraline Risinger, PA-CGlendale, AZ 853041346888419
  8. Jennifer RodriguezGlendale, AZ 853041225736507

Common questions

What is Dylan James Kertzie's NPI number?

Dylan James Kertzie's National Provider Identifier (NPI) is 1265318224, issued on Aug 14, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Dylan James Kertzie located?

The NPPES record lists a practice address at 5601 W Eugie Ave Ste 100, Glendale, AZ, 85304. Phone: (602) 298-8888. Providers update this record themselves, so call before visiting.

How can I verify Dylan James Kertzie's license?

Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.