MICHAEL MCKELVA
NPI 1346771748
Physician Assistant - Surgical in Tyler, TX

Q: What is Michael Mckelva's NPI number?

The NPI number for Michael Mckelva is 1346771748. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Michael Mckelva'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 Michael Mckelva was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment

630 S FLEISHEL AVE, TYLER, TX 75701(903) 606-5560 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2021, Mar 27, 2017 (2 updates tracked since 2017).

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About Michael Mckelva NPPES

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

MICHAEL MCKELVA (NPI 1346771748) is an individual surgical provider in Tyler, Texas, licensed in Texas (PA11152) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Irving.

NPPES Registry Identity

NPI1346771748

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMICHAEL MCKELVA

Location Address630 S FLEISHEL AVETyler, TX 75701-2041

Mailing Address2120 N Macarthur Blvd, Suite 100Irving, TX 75061-2221 · (972) 438-4636 · Fax (972) 438-6585

Phone(903) 606-5560

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 27, 2017

Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration

NPPES CertifiedMarch 23, 2021

✔ NPI 1346771748 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 TX · PA11152

630 S FLEISHEL AVE, Tyler, TX 75701

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Secondary Practice Location 1

Location 12120 N MacArthur Blvd, SUITE 100Irving, TX 75061-2221 · Phone (972) 438-4636 ext. 1101 · Fax (972) 438-6585

Other Identifiers 1

Medicaid370509704TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.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

Michael Mckelva 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 ID941586275

PECOS Enrollment IDI20170420001886

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services13 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

18 services11 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

HALEY NICOLE FITZGERALD AGACNP

Nurse Practitioner (Acute Care)