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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELSIE JORDYN SPECKNER PA-C
NPI 1518529908
Physician Assistant in Southlake, TX

Active since July 05, 2019PECOS EnrolledAccepts Medicare Assignment
505 S NOLEN DR, SOUTHLAKE, TX 76092(817) 424-1525 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Aug 4, 2025, Mar 29, 2025 and 6 more (9 updates tracked since 2019).

About Kelsie Jordyn Speckner Pa-c NPPES

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

KELSIE JORDYN SPECKNER PA-C (NPI 1518529908) is an individual physician assistant in Southlake, Texas, licensed in Texas (PA13404) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1518529908
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSIE JORDYN SPECKNERCredential: PA-C
Location Address505 S NOLEN DRSouthlake, TX 76092-9167
Mailing Address505 S Nolen Dr Ste ASouthlake, TX 76092-9167 · (817) 424-1525 · Fax (817) 424-3491
Phone(817) 424-1525
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 5, 2019
Last NPPES UpdateJuly 9, 20269 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1518529908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA13404
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA13404 (TX)
505 S NOLEN DR, Southlake, TX 76092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Kelsie Jordyn Speckner 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 ID143644864
PECOS Enrollment IDI20200728000424
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 7

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.
182 services160 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.
154 services142 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
33 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 19

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

DR. JEFFREY A SMITH M.D.
Internal Medicine (Gastroenterology)
505 S NOLEN DR
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
DR. TIMOTHY E RITTER M.D.
Internal Medicine (Gastroenterology)
505 S NOLEN DR
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
ASHLEY NICOLE TODD MSN, APRN, FNP-C
Nurse Practitioner
505 S NOLEN DR
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
DR. STEPHEN W LACEY M.D.
Internal Medicine (Gastroenterology)
505 S NOLEN DR
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
PAULINE NGUYEN ANP
Nurse Practitioner (Adult Health)
505 S NOLEN DR, SUITE A
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
BRITTANY HO PA-C
Physician Assistant
505 S NOLEN DR
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
DR. DAVID K SPADY M.D.
Internal Medicine (Gastroenterology)
505 S NOLEN DR
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525
TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC
Internal Medicine (Gastroenterology)
505 S NOLEN DR, STE A
SOUTHLAKE, TX 76092
Tarrant County (817) 424-1525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsie Speckner's NPI number?

The NPI number for Kelsie Speckner is 1518529908. It was assigned to this individual provider in the NPPES registry on July 5, 2019.

Where is Kelsie Speckner located?

Kelsie Speckner practices at 505 S Nolen Dr, Southlake, TX 76092. The listed phone number is (817) 424-1525.

What is Kelsie Speckner's specialty?

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

Is Kelsie Speckner enrolled in Medicare?

Yes. Kelsie Speckner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelsie Speckner accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Kelsie Speckner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelsie Speckner affiliated with any hospitals?

According to CMS data, Kelsie Speckner is affiliated with Baylor Scott & White Medical Center Grapevine.

When was this NPI record last updated?

The NPPES record for Kelsie Speckner was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.