Individual provider Active NPI

Kylie Brooke Yeckley, PA

  • Physician Assistant
  • Katy, TX
National Provider Identifier
1972221372
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1331 W Grand Pwky N Suite 130
Katy, TX 77493-2711
Phone
(281) 392-3401
Fax
(281) 392-7814
NPI assigned
Aug 22, 2022
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1331 W Grand Pwky N Suite 130
Katy, TX 77493-2711

Mailing address

1331 W Grand Pwky N
Suite 130
Katy, TX 77493-2711

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
I20221229001038 TX Practitioner - Physician Assistant 7113397514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Cardiovascular Assoc PAGroup PAC ID 7911992151, 82 clinicians

Practice addresses (Care Compare)

10496 Katy Fwy
Suite 130
Houston, TX 77043-5269
Phone (281) 392-3401

1331 W Grand Pkwy N
Katy, TX 77493-2711
Phone (281) 392-3401

18400 Katy Fwy
Suite 600
Houston, TX 77094-1296
Phone (713) 464-2928

25282 Northwest Fwy
Suite 250
Cypress, TX 77429-1084
Phone (281) 392-3401

6441 Main St
Houston, TX 77030-1502
Phone (713) 790-0841

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial City Cardiology Associates PA CurrentSince Dec 1, 2022 Accepting new patients
Houston Cardiovascular Assoc PA CurrentSince Feb 1, 2025 Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

25282 Northwest Fwy
Ste 250
Cypress, TX 77429
Phone (281) 392-3401

18400 Katy Fwy
Ste 600
Houston, TX 77094
Phone (281) 392-3401

10496 Katy Fwy
Ste 130
Houston, TX 77043
Phone (281) 392-3401

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

1331 W Grand Pkwy N
Ste 130
Katy, TX 77493
Phone (281) 392-3401

Interoperability endpoints

  • Direct secure messaging: kylie.yeckley@ushv.eclinicaldirectplus.com

Organizations & group practices 3

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.

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": "1673395200000",
    "number": "1972221372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PWKY N",
            "address_2": "SUITE 130",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W GRAND PWKY N SUITE 130",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932711",
            "telephone_number": "281-392-3401",
            "fax_number": "281-392-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YECKLEY",
        "first_name": "KYLIE",
        "middle_name": "BROOKE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-01-11",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.