Kelsie Jo Fallon, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA06988 Issued in TX

Practice address

1701 N US Highway 75
Suite 100
Sherman, TX 75090

Phone

(903) 893-0123

Fax

(903) 892-3833

NPI assigned

Sep 24, 2010

Last updated

Feb 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clint a Hayes MD PAGroup PAC ID 2668443136, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: kelsie.daniels.1@19918.direct.athenahealth.com

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

• Clint a. Hayes MD PA

  • Phlebology Physician
  • Sherman, TX
  • NPI 1023292836
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1215246277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N TRAVIS ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750925138",
            "telephone_number": "903-893-0123",
            "fax_number": "903-892-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N US HIGHWAY 75",
            "address_2": "SUITE 100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "75090",
            "telephone_number": "903-893-0123",
            "fax_number": "903-892-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "KELSIE",
        "middle_name": "JO",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyemart Express LLC
• Eyemart Express, LTD.
• F Whitworth Corporation (FYZICAL Therapy and Balance Centers Sherman)
• F. George Nieberg, M.D. and Associates, P.a.
• Robert C Fair, P.T.
• Fannin County Hospital Authority (Avir at Sherman)
• Fannin County Hospital Authority (Texoma Healthcare Center)
• Casser Farishta, DPM
• Aaminah Farooq, DO
• Martin Gregory Farrell, M.D.

• Physician Assistant in Sherman, TX
• Providers in Sherman, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.

Verify at the official NPI Registry.