Individual provider Active NPI

Kelly A. Williamson, PA-C

  • Medical Physician Assistant
  • Sellersville, PA
National Provider Identifier
1053621052
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA054630 Issued in PA
Practice address
915 Lawn Ave
Suite 203
Sellersville, PA 18960-1551
Phone
(215) 453-3400
Fax
(215) 453-3410
NPI assigned
Oct 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA054630 PA Primary

Addresses

Primary practice location

915 Lawn Ave
Suite 203
Sellersville, PA 18960-1551

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110208000539 PA Practitioner - Physician Assistant 0749460707 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand View HospitalGroup PAC ID 8022001924, shared by 27 NPIs, 94 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

419 S Broad St
Unit 4
Lansdale, PA 19446-3703

419 S Broad St Unit
4 Grand View Health Urogynecology
Lansdale, PA 19446-3703

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

915 Lawn Ave
Suite 203
Sellersville, PA 18960-1551
Phone (215) 453-3400

Hospital & facility affiliations

  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA054630PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Hospital CurrentSince Oct 1, 2010 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jun 18, 2025 Accepting new patients
Grand View Hospital CurrentSince Oct 1, 2010 Accepting new patients
Grand View Hospital CurrentSince Apr 1, 2015 Accepting new patients
St Luke'S Physician Group, Inc CurrentSince Jun 18, 2025 Accepting new patients
Grand View Hospital CurrentSince Jun 16, 2020 Accepting new patients
Grand View Hospital Current Accepting new patients
Grand View Hospital CurrentSince Feb 9, 2021 Accepting new patients

Locations

103 Bethlehem Pike
Colmar, PA 18915
Phone (215) 453-3400

253 W State St
Doylestown, PA 18901
Phone (267) 880-0810

174 N Main St
Bldg 3
Dublin, PA 18917
Phone (215) 257-3697

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

419 S Broad St
Unit 4
Lansdale, PA 19446
Phone (267) 429-2561

99 N West End Blvd
Ste 104
Quakertown, PA 18951
Phone (215) 453-4908

99 N West End Blvd
Ste 108
Quakertown, PA 18951
Phone (215) 453-3400

915 Lawn Ave
Ste 203
Sellersville, PA 18960
Phone (215) 257-3697

3456 Bethlehem Pike
Souderton, PA 18964
Phone (215) 721-6500

Interoperability endpoints

  • Direct secure messaging: kwilliamson350658@direct-sluhn.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1053621052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 LAWN AVE",
            "address_2": "SUITE 203",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601551",
            "telephone_number": "215-453-3400",
            "fax_number": "215-453-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KELLY",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-12",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.