Active NPI
Sally Ann Kelley, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Harlingen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- R0040
- Practice address
- 3809 W Business 83
Harlingen, TX 78552-3521 - Phone
- (956) 504-3550
- Fax
- (956) 734-9038
- NPI assigned
- Dec 28, 2006
- Last updated
- Oct 9, 2023
- 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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | R0040 | TX | Primary |
Addresses
Primary practice location
3809 W Business 83
Harlingen, TX 78552-3521
Mailing address
3809 W Business 83
Harlingen, TX 78552-3521
Phone (956) 504-3550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 532194YMVU | Other | WELLMED NETWORKS INC |
Other names 1
- Sally Ann Wiest
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Indiana University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
San Antonio, TX 78257
Phone (210) 617-4706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Networks, Inc. | Current | Accepting new patients | |
| Wellmed Medical Group, PA | Internal Medicine | Current | Accepting new patients |
| Wellmed Medical Group, P.a. | Internal Medicine | Current | Accepting new patients |
| Metro Infectious Disease Consultants LLC | Past | Accepting new patients | |
| Midwest Palliative & Hospice Carecenter | Past | Accepting new patients |
Locations
5460 Paredes Line Rd
Ste 209
Brownsville, TX 78526
Phone (956) 554-0010
3809 W Business 83
Harlingen, TX 78552
Phone (956) 364-0325
509 S Expressway 83
Ste B2
Harlingen, TX 78550
Phone (956) 406-6285
19500 Ih 10 W
#15030
San Antonio, TX 78257
Phone (210) 617-4607
4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
Interoperability endpoints
- sally.kelley@wellmed.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
-
dba WellMed Cardiology
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1386948677
-
dba WellMed Doctor's Hospital Senior Clinic
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
Internal Medicine
-
dba Midc
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
-
- Home Health Agency
- Glenview, IL
- NPI 1811011919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1396801213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 W BUSINESS 83",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785523521",
"telephone_number": "956-504-3550",
"fax_number": "956-734-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3809 W BUSINESS 83",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785523521",
"telephone_number": "956-504-3550",
"fax_number": "956-734-9038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "SALLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "TX",
"license": "R0040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED NETWORKS INC",
"identifier": "532194YMVU",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SALLY",
"last_name": "WIEST",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.