KENDALL VAN DE WALLE PA
NPI 1720836125
Physician Assistant in College Station, TX

Active since May 09, 2024PECOS EnrolledAccepts Medicare Assignment
800 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845(979) 207-4000(979) 207-4562 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kendall Van De Walle Pa NPPES

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

KENDALL VAN DE WALLE PA (NPI 1720836125) is an individual physician assistant in College Station, Texas, licensed in Texas (PA18424) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center- College Stati, and maintains a secondary practice location in Chriesman.

NPPES Registry Identity

NPI1720836125
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENDALL VAN DE WALLECredential: PA
Location Address800 SCOTT AND WHITE DRCollege Station, TX 77845-6440
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Fax(979) 207-4562
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2024
Enumeration DateMay 9, 2024
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
NPI 1720836125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA18424
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.

800 SCOTT AND WHITE DR, College Station, TX 77845

Other Names 1

Former Name (1)Kendall Stewart Pa

Secondary Practice Location 1

Location 1PO Box 15Chriesman, TX 77838-0015 · Phone (409) 772-0107

Accepted 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

Kendall Van De Walle Pa 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 ID547794190
PECOS Enrollment IDI20241105003585
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.

Baylor Scott & White Medical Center- College Stati

Acute Care Hospitals · College Station, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670088
Location700 Scott & White DriveCollege Station, TX 77845 · Brazos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77845 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.

Physical Therapist
800 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Dietitian, Registered
800 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Physical Therapist
800 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Nurse Practitioner (Pediatrics)
800 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Dietitian, Registered
800 SCOTT AND WHITE DR, ROCK PRAIRIE CLINIC
COLLEGE STATION, TX 77845
Obstetrics & Gynecology
800 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Surgery
800 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845
Otolaryngology
800 SCOTT AND WHITE DR
COLLEGE STATION, TX 77845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720836125, enumerated as an "individual" on May 09, 2024.

The provider is located at 800 SCOTT AND WHITE DR COLLEGE STATION, TX 77845 and the phone number is (979) 207-4000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.

Kendall Van De Walle is affiliated with: BAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI.