KELLY WISWELL
NPI 1447880703
Physician Assistant in San Antonio, TX

Q: What is Kelly Wiswell's NPI number?

The NPI number for Kelly Wiswell is 1447880703. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Q: What is Kelly Wiswell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Wiswell was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 24, 2020PECOS EnrolledAccepts Medicare Assignment

3333 RESEARCH PLZ, SAN ANTONIO, TX 78235(210) 297-3000 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Wiswell NPPES

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

KELLY WISWELL (NPI 1447880703) is an individual physician assistant in San Antonio, Texas and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1447880703

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLY WISWELL

Location Address3333 RESEARCH PLZSan Antonio, TX 78235-5154

Mailing Address5623 Hamilton Wolfe Apt 134San Antonio, TX 78240-4021

Phone(210) 297-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 24, 2020

✔ NPI 1447880703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3333 RESEARCH PLZ, San Antonio, TX 78235

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company 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

Kelly Wiswell 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 ID7517396591

PECOS Enrollment IDI20200327000215

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.

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450058

Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

GILBERT ROMAN CERVANTES FNP-C

Nurse Practitioner (Primary Care)