Active NPI
Kelsey Tseng, PA
- Physician Assistant
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14440
- Practice address
- 11207 Wild Pine
BLDG 1, Ste 103
San Antonio, TX 78253 - Phone
- (210) 201-1603
- NPI assigned
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14440 | TX | Primary |
Addresses
Primary practice location
11207 Wild Pine
BLDG 1, Ste 103
San Antonio, TX 78253
Mailing address
11207 Wild Pine
BLDG 1, Ste 103
San Antonio, TX 78253
Phone (210) 201-1603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11207 Wild Pne
Suite 103
San Antonio, TX 78253-7293
Phone (888) 374-5066
551 S I-35 Frontage Rd
Suite 200
Round Rock, TX 78664
Phone (888) 374-5066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14440 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center LLC, | Current | Accepting new patients | |
| Family Care Center, LLC | Physician Assistant | Current | Accepting new patients |
Locations
551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314
11207 Wild Pne
Ste 103
San Antonio, TX 78253
Phone (210) 201-1603
Interoperability endpoints
- ktseng92200@direct.phhs.org
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1427786482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1184201691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11207 WILD PINE",
"address_2": "BLDG 1, STE 103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78253",
"telephone_number": "210-201-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11207 WILD PINE",
"address_2": "BLDG 1, STE 103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78253",
"telephone_number": "210-201-1603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSENG",
"first_name": "KELSEY",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA14440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.