KELLY WOOLLEY PAC
NPI 1063471175
Physician Assistant - Medical in Plano, TX

Active since March 20, 2006PECOS Enrolled
5228 W PLANO PKWY, PLANO, TX 75093(972) 250-5700 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelly Woolley Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY WOOLLEY PAC (NPI 1063471175) is a medical provider in Plano, Texas, licensed in Texas (03901) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated April 1, 2008.

NPPES Registry Identity

NPI1063471175
Entity TypeIndividualFemale
Provider Legal NameKELLY WOOLLEYCredential: PAC
Location Address5228 W PLANO PKWYPlano, TX 75093-5005
Mailing Address5228 W Plano PkwyPlano, TX 75093-5005 · (972) 250-5700
Sole ProprietorNo
Enumeration DateMarch 20, 2006
Last NPPES UpdateApril 1, 2008
NPI 1063471175 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Physician Assistant · Medical

Taxonomy 363AM0700X · Physician Assistants & Advanced Practice Nursing Providers

Licensed in TX · 03901
5228 W PLANO PKWY, Plano, TX 75093

Also on File with NPPES

Other Names1
Kelly Crane Pac (Former Name (1))
Other Identifiers2
8C2512 (Medicare ID-Type Unspecified, TX)
Q24075 (Medicare UPIN)

Medicare Participation & PECOS Enrollment Status

Kelly Woolley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
5228 W PLANO PKWY
PLANO, TX 75093
Physician Assistant
5228 W PLANO PKWY
PLANO, TX 75093
Physician Assistant
5228 W PLANO PKWY
PLANO, TX 75093
Orthopaedic Surgery
5228 W PLANO PKWY
PLANO, TX 75093
Durable Medical Equipment & Medical Supplies
5228 W PLANO PKWY
PLANO, TX 75093
Specialist
5228 W PLANO PKWY
PLANO, TX 75093
Specialist
5228 W PLANO PKWY
PLANO, TX 75093
Specialist
5228 W PLANO PKWY
PLANO, TX 75093
Specialist
5228 W PLANO PKWY
PLANO, TX 75093
Specialist
5228 W PLANO PKWY
PLANO, TX 75093
Specialist
5228 W PLANO PKWY
PLANO, TX 75093
Specialist
5228 W PLANO PKWY
PLANO, TX 75093
Podiatrist
5228 W PLANO PKWY
PLANO, TX 75093
Specialist/Technologist, Pathology (Medical Technologist)
5228 W PLANO PKWY
PLANO, TX 75093
Physician Assistant (Medical)
5228 W PLANO PKWY
PLANO, TX 75093
Clinic/Center (Medical Specialty)
5228 W PLANO PKWY
PLANO, TX 75093
Physician Assistant (Surgical)
5228 W PLANO PKWY
PLANO, TX 75093
Specialist
5228 W PLANO PKWY
PLANO, TX 75093
Specialist
5228 W PLANO PKWY
PLANO, TX 75093
Physician Assistant (Surgical)
5228 W PLANO PKWY
PLANO, TX 75093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063471175, enumerated as an "individual" on March 20, 2006.

The provider is located at 5228 W PLANO PKWY PLANO, TX 75093 and the phone number is (972) 250-5700.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.