Active NPI
Kelly Skiles, PA
- Physician Assistant
- Austin, TX
National Provider Identifier
1396224549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12174
- Practice address
- 13642 Research Blvd
BLDG 2, Ste 100
Austin, TX 78750-2210 - Phone
- (512) 331-7300
- Fax
- (512) 331-7318
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- No
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 | PA12174 | TX | Primary |
Addresses
Primary practice location
13642 Research Blvd
BLDG 2, Ste 100
Austin, TX 78750-2210
Mailing address
2209 Hancock Dr Apt 8
Austin, TX 78756-2548
Phone (608) 772-2989
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 W 34TH St
Suite 100
Austin, TX 78703-1432
Phone (512) 533-9900
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.76 of 100
- Quality
- 87.52
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA12174 | TX | MD | Physician Assistant |
Organizations & group practices 1
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.
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- Austin, TX
- NPI 1346331782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1396224549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 HANCOCK DR APT 8",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787562548",
"telephone_number": "608-772-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13642 RESEARCH BLVD",
"address_2": "BLDG 2, STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787502210",
"telephone_number": "512-331-7300",
"fax_number": "512-331-7318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKILES",
"first_name": "KELLY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA12174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.