KACI LEE HULTZ PA-C
NPI 1336904887
Physician Assistant - Medical in Windcrest, TX

Q: What is Kaci Hultz's NPI number?

The NPI number for Kaci Hultz is 1336904887. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Q: What is Kaci Hultz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kaci Hultz was last updated on February 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 14, 2024PECOS Enrolled

8930 FOURWINDS DR, SUITE 101, WINDCREST, TX 78239(210) 653-7444(210) 653-7456 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kaci Lee Hultz Pa-c NPPES

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

KACI LEE HULTZ PA-C (NPI 1336904887) is an individual medical provider in Windcrest, Texas and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336904887

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKACI LEE HULTZCredential: PA-C

Location Address8930 FOURWINDS DR, SUITE 101Windcrest, TX 78239-1971

Mailing Address8930 Fourwinds Drive, Suite 101Windcrest, TX 78239 · (210) 653-7444 · Fax (210) 653-7456

Phone(210) 653-7444

Fax(210) 653-7456

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 14, 2024

NPPES CertifiedFebruary 14, 2024

✔ NPI 1336904887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AM0700X

8930 FOURWINDS DR, Windcrest, TX 78239

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaci Lee Hultz Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426527482

PECOS Enrollment IDI20260519003429

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.

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