Kelly L. McDonald, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2013-0057 Issued in NM

Practice address

903 5TH St # C
Estancia, NM 87016-1155

Phone

(505) 384-2777

NPI assigned

Aug 15, 2006

Last updated

Sep 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Presbyterian Medical ServicesGroup PAC ID 2062324684, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kellyl.mcdonald.p1@direct.pmsnm.nextgenshare.com

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.

• Presbyterian Medical Services

  dba Rio Rancho Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Rio Rancho, NM
  • NPI 1871505032
  Medicare reassignment Care Compare group
• New Mexico Orthopaedic Associates PC

  • Orthopaedic Surgery Physician
  • Albuquerque, NM
  • NPI 1407898299
  Medicare reassignment NPD
• Advanced Imaging LLC

  dba High Resolution

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1558416974
  Medicare reassignment
• McLeod Medical Centers of NM, Inc.

  dba Duke City Primary Care

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1700393782
  Medicare reassignment
• McLeod Medical Centers of NM, Inc.

  dba Duke City Primary Care

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1215580832
  NPD
• Advanced Imaging LLC

  dba Albuquerque Imaging Center

  • Body Imaging Physician
  • Albuquerque, NM
  • NPI 1851363972
  NPD (past)
• Presbyterian Medical Services

  dba Esperanza Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Estancia, NM
  • NPI 1912016734
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1972516359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 5TH ST # C",
            "city": "ESTANCIA",
            "state": "NM",
            "postal_code": "870161155",
            "telephone_number": "505-384-2777",
            "fax_number": "505-384-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 5TH ST # C",
            "city": "ESTANCIA",
            "state": "NM",
            "postal_code": "870161155",
            "telephone_number": "505-384-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KELLY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2013-0057",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NM",
            "license": "237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Kirst-Millspaugh
• Inez Marie Lopez, DMD
• Mariah Lowery, RN
• Karen Ann Lujan, CSW
• Manzano Mountain Counseling LLC
• Kenneth J McKee, LPC
• Marlie Neish
• Gilbert Adrian Ortiz, LMSW
• Outside the Box Counseling
• Presbyterian Medical Services (Esperanza Family Health Center)

• Physician Assistant in Estancia, NM
• Providers in Estancia, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.