Active NPI
Kelsey Danielle Pawelek, PA-C
- Physician Assistant
- Little Rock, AR
National Provider Identifier
1801609847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PT2025-011
- Practice address
- 2 Saint Vincent Cir
Little Rock, AR 72205-5423 - Phone
- (501) 552-3000
- NPI assigned
- Jan 31, 2025
- 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 | PT2025-011 | AR | Primary |
Addresses
Primary practice location
2 Saint Vincent Cir
Little Rock, AR 72205-5423
Mailing address
5415 C St Unit B
Little Rock, AR 72205-3472
Phone (361) 701-1101
Other practice location 1
2215 Wildwood Ave
Sherwood, AR 72120-5089
Phone (501) 552-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5125 Northshore Dr
North Little Rock, AR 72118-5315
PO Box
Dallas, TX 75267
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2025-011 | AR | 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.
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134176480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1801609847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5415 C ST UNIT B",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053472",
"telephone_number": "361-701-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SAINT VINCENT CIR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055423",
"telephone_number": "501-552-3000"
}
],
"practiceLocations": [
{
"address_1": "2215 Wildwood Ave",
"address_purpose": "LOCATION",
"city": "Sherwood",
"state": "AR",
"postal_code": "721205089",
"country_code": "US",
"telephone_number": "501-552-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAWELEK",
"first_name": "KELSEY",
"middle_name": "DANIELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-31",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AR",
"license": "PT2025-011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.