Individual provider Active NPI

Kelsey Cheri Dowdall, PA-C

  • Surgical Physician Assistant
  • McKinney, TX
National Provider Identifier
1366048324
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
5252 W University Dr
McKinney, TX 75071-7822
Phone
(468) 764-1000
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X TX Primary

Addresses

Primary practice location

5252 W University Dr
McKinney, TX 75071-7822

Mailing address

1413 Ellicott Dr
Celina, TX 75009-0895
Phone (214) 597-7360

Other names 1

  • Kelsey Cheri Payne Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdowdall775195@direct.sw.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210414001195 TX Practitioner - Physician Assistant 0244648160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

12505 Lebanon Rd
Suite 1442
Frisco, TX 75035-8298
Phone (972) 963-3550

3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100

3900 Junius St
Suite 605
Dallas, TX 75246-1630
Phone (214) 820-6688

4001 Worth St
Dallas, TX 75246-1608

5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-6950

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082
  • Baylor Scott and White Medical Center Uptown Hospital, Dallas, TX, CCN 450422
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott and White Medical Center Frisco at PG Hospital, Frisco, TX, CCN 670346
  • Baylor Scott & White Medical Center - Frisco Hospital, Frisco, TX, CCN 450853

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Single Specialty CurrentSince Mar 1, 2021 Accepting new patients
Healthtexas Provider Network Single Specialty CurrentSince Mar 1, 2021 Accepting new patients
Healthtexas Provider Network Single Specialty Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3417 Gaston Ave
Ste 910
Dallas, TX 75246
Phone (469) 800-7560

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

5236 W University Dr
Ste 4600
McKinney, TX 75071
Phone (469) 800-9260

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: kdowdall775195@direct.sw.org

Organizations & group practices 4

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 5

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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1366048324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 ELLICOTT DR",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750090895",
            "telephone_number": "214-597-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 W UNIVERSITY DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717822",
            "telephone_number": "468-764-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDALL",
        "first_name": "KELSEY",
        "middle_name": "CHERI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdowdall775195@direct.sw.org",
            "affiliation": "N",
            "address_1": "5236 W University Dr Ste 4600",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750718131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "PAYNE",
            "middle_name": "CHERI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.