Andrew Michael Kelley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14096 Issued in TX

Practice address

22698 Professional Dr Ste 100
Kingwood, TX 77339-5701

Phone

(281) 312-8530

NPI assigned

Jan 14, 2021

Sex

Male

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NWTX Physician Network PLLCGroup PAC ID 4688899149, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.kelley.p1@direct.mphcc.nextgenshare.com

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.

• NWTX Physician Network, PLLC

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1790109916
  Medicare reassignment Care Compare group
• Privia Medical Group Gulf Coast, PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1578969465
  Medicare reassignment NPD
• Millennium Physicians Association, PLLC

  dba Millennium Oncology

  • Multi-Specialty Clinic/Center
  • The Woodlands, TX
  • NPI 1255397733
  Medicare reassignment
• Millennium Physicians Association PLLC

  dba Millennium Pharmacy #2

  • Community/Retail Pharmacy
  • Kingwood, TX
  • NPI 1811385727
  NPD
• Privia Medical Group Gulf Coast PLLC

  dba Express Pain and Urgent Care

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1457167033
  NPD

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

• Northwest Texas Healthcare System Inc

  dba Northwest Texas Healthcare System

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1467442418
  Care Compare affiliation

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1356930325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22698 PROFESSIONAL DR STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395701",
            "telephone_number": "281-312-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22698 PROFESSIONAL DR STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395701",
            "telephone_number": "281-312-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Kegerreis
• Richard L Keiger, MD
• Elaheh Keivani Boroujeni, MD
• Hans M. Kell, O.D.
• Christopher S Keller, MD
• Jordan Elyse Kellinger, MA, CF-SLP
• Kelly Michelle Kelly, CRNA
• Sharon Lynn Kelly, PTA
• Trace Kelly
• Kemd Consulting P.a.

• Physician Assistant in Kingwood, TX
• Providers in Kingwood, 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 26, 2023; 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.