Individual provider Active NPI

Kelsi Vice, PA

  • Physician Assistant
  • Beaumont, TX
National Provider Identifier
1942928270
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17298 Issued in TX
Practice address
205 N 11TH St
Beaumont, TX 77702-2213
Phone
(409) 892-7090
Fax
(409) 892-4324
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17298 TX Primary
Surgical Physician Assistant 363AS0400X PA17298 TX

Addresses

Primary practice location

205 N 11TH St
Beaumont, TX 77702-2213

Mailing address

205 N 11TH St
Beaumont, TX 77702-2213
Phone (409) 892-7090

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
I20231115001524 TX Practitioner - Physician Assistant 0446607253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

205 N 11TH St
Beaumont, TX 77702-2213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA17298TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince Sep 18, 2023 Accepting new patients
Ortholonestar, PLLC CurrentSince Sep 18, 2023 Accepting new patients
Russell Perry, MD, PA CurrentSince Apr 20, 2026 Accepting new patients
William a. Fawcett, IV, MD Past Accepting new patients

Locations

4700 Seton Center Pkwy
Ste 115
Austin, TX 78759
Phone (346) 440-0644

7718 Garth Rd
Baytown, TX 77521
Phone (713) 347-9031

2635 W Baker Rd
Baytown, TX 77521
Phone (281) 337-8550

2965 Harrison Ave
Ste 315
Beaumont, TX 77702
Phone (409) 892-2262

205 N 11th St
Beaumont, TX 77702
Phone (409) 892-7090

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

7401 Main St
Houston, TX 77030
Phone (713) 799-8600

520 Blossom St
Webster, TX 77598
Phone (281) 332-9537

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1942928270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022213",
            "telephone_number": "409-892-7090",
            "fax_number": "409-892-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022213",
            "telephone_number": "409-892-7090",
            "fax_number": "409-892-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICE",
        "first_name": "KELSI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17298",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA17298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.