SAMUEL KELLY
NPI 1013542372
Anesthesiologist Assistant in Waco, TX
About Samuel Kelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL KELLY (NPI 1013542372) is an individual anesthesiologist assistant in Waco, Texas, licensed in Texas (32697602) and active in the NPI registry since March 2020. He is affiliated with Euclid Hospital and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samuel Kelly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Samuel Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ashland, OH 44805
- Reassigned Medicare billing, Ohio enrollment
- 1,437 clinicians in this Medicare group
Avon, OH 44011
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Euclid Hospital
Acute Care Hospitals · Euclid, OHHillcrest Hospital
Acute Care Hospitals · Mayfield Heights, OHOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WACO, TX 76712
WACO, TX 76712
WACO, TX 76712
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samuel Kelly's NPI number?
The NPI number for Samuel Kelly is 1013542372. It was assigned to this individual provider in the NPPES registry on March 6, 2020.
Where is Samuel Kelly located?
Samuel Kelly practices at 100 Hillcrest Medical Blvd, Waco, TX 76712. The listed phone number is (254) 202-2000.
What is Samuel Kelly's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Samuel Kelly enrolled in Medicare?
Yes. Samuel Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Samuel Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Kelly reassigns Medicare benefits to 3 organizations: University Primary Care Practices Inc (Ashland, OH), The Cleveland Clinic Foundation (Avon, OH) and University Hospitals Medical Group Inc (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Kelly accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and CareSource list Samuel Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Samuel Kelly affiliated with any hospitals?
According to CMS data, Samuel Kelly is affiliated with Euclid Hospital and Hillcrest Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Kelly was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samuel Kelly · NPI 1013542372
Anesthesiologist Assistant physician in Waco, Texas. Individual provider, active in the CMS NPPES registry since March 6, 2020.
## Identity
- **NPI:** 1013542372 (Entity type: Individual)
- **Enumerated:** March 6, 2020
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** 32697602 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 HILLCREST MEDICAL BLVD, Waco, TX 76712-8897
- **Phone:** (254) 202-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Primary Care Practices Inc (NPI 1619004470, Ashland, OH); The Cleveland Clinic Foundation (NPI 1184428336, Avon, OH); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1013542372) · Data from the CMS NPPES public registry.