HAILEY DANIELS KELLY PA-C
NPI 1154951739
Physician Assistant - Surgical in Jackson, MS

Q: What is Hailey Kelly's NPI number?

The NPI number for Hailey Kelly is 1154951739. It was assigned to this individual provider in the NPPES registry on January 22, 2020. The provider is also known as Hailey Daniels Pa-C.

Q: What is Hailey Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Hailey Kelly was last updated on July 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 22, 2020PECOS EnrolledAccepts Medicare Assignment

84.46/100

CMS Quality Rating

1325 E FORTIFICATION ST, JACKSON, MS 39202(601) 354-4488 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2020, Jan 22, 2020 (2 updates tracked since 2020).

On this page

About Hailey Daniels Kelly Pa-c NPPES

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

HAILEY DANIELS KELLY PA-C (NPI 1154951739) is an individual surgical provider in Jackson, Mississippi, licensed in Mississippi (PA00468) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154951739

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameHAILEY DANIELS KELLYCredential: PA-C

Location Address1325 E FORTIFICATION STJackson, MS 39202-2442

Mailing Address2010 Highpointe Dr Apt 187Brandon, MS 39042-2924 · (601) 951-9070

Phone(601) 354-4488

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 22, 2020

Last NPPES UpdateJuly 6, 20202 updates tracked since enumeration

NPPES CertifiedJuly 6, 2020

✔ NPI 1154951739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MS · PA00468

1325 E FORTIFICATION ST, Jackson, MS 39202

Open in Google Maps ↗

Other Names 1

Former Name (1)Hailey Daniels Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hailey Daniels Kelly Pa-c 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.

PECOS PAC ID8527495548

PECOS Enrollment IDI20240520002438

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

68 services65 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

33 services30 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

26 services26 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

26 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services19 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

21 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440048

Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.76

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSH CAMPBELL HARDIN ATC/L

Specialist/Technologist (Athletic Trainer)