Individual provider Active NPI

Kelsea Newman, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1770237950
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA14856 Issued in TX
Practice address
13722 Embassy Row
San Antonio, TX 78216-2000
Phone
(726) 207-3656
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4972 TN
Medical Physician Assistant 363AM0700X 4972 TN
Medical Physician Assistant 363AM0700X 11211 GA
Medical Physician Assistant 363AM0700X PA14856 TX Primary

Addresses

Primary practice location

13722 Embassy Row
San Antonio, TX 78216-2000

Mailing address

4826 Bucknell St
San Antonio, TX 78249-1711
Phone (423) 426-6164

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelsdougherty@comcast.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230623002246 GA Practitioner - Physician Assistant 3375901390 Reassigns benefits to 2 organizations
I20250714003558 TX Practitioner - Physician Assistant 3375901390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

11811 Blanco Rd
San Antonio, TX 78216-2407
Phone (210) 341-5588

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

2530 SW Military Dr
San Antonio, TX 78224-1020
Phone (210) 476-5599

426 Singing Oaks
Spring Branch, TX 78070-6508
Phone (830) 632-5740

9885W Interstate 10
San Antonio, TX 78230-2245
Phone (210) 696-5599

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11211GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Jul 3, 2025 Accepting new patients
TMC Provider Group PLLC CurrentSince Jul 3, 2025 Accepting new patients
Liberty Healthcare Partners PastSince Jan 5, 2026 Accepting new patients
Sentef Medical Center Physician Assistant PastSince Jul 1, 2022 Accepting new patients

Locations

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1770237950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4826 BUCKNELL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491711",
            "telephone_number": "423-426-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13722 EMBASSY ROW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162000",
            "telephone_number": "726-207-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "KELSEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4972",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4972",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "11211",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA14856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelsdougherty@comcast.net",
            "affiliation": "N",
            "address_1": "13722 Embassy Row",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782162000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.