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MRS. KELSEY ELYSE ETLEY PA-C
NPI 1730511882
Physician Assistant in Rockwall, TX

Active since July 31, 2013PECOS Enrolled
3142 HORIZON RD STE 110, ROCKWALL, TX 75032(972) 771-1171(972) 771-1173 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2022, Jun 13, 2019 (2 updates tracked since 2019).

About Mrs. Kelsey Elyse Etley Pa-c NPPES

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

MRS. KELSEY ELYSE ETLEY PA-C (NPI 1730511882) is an individual physician assistant in Rockwall, Texas, licensed in Texas (PA08636) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730511882
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KELSEY ELYSE ETLEYCredential: PA-C
Location Address3142 HORIZON RD STE 110Rockwall, TX 75032-7810
Mailing Address3142 Horizon Rd Ste 110Rockwall, TX 75032-7810 · (972) 771-1171 · Fax (972) 771-1173
Phone(972) 771-1171
Fax(972) 771-1173
Sole ProprietorNo
Enumeration DateJuly 31, 2013
Last NPPES UpdateMarch 2, 20222 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
✔ NPI 1730511882 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 · PA08636
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.
3142 HORIZON RD STE 110, Rockwall, TX 75032
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelsey Elyse Etley Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75032 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 3

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

KRISTEN ZWERNER AGACNP-BC
Nurse Practitioner (Acute Care)
3142 HORIZON RD STE 110
ROCKWALL, TX 75032
Rockwall County (214) 906-9889
DR. MATTHEW DICKSON M.D., PH.D.
Internal Medicine (Cardiovascular Disease)
3142 HORIZON RD STE 110
ROCKWALL, TX 75032
Rockwall County (972) 771-1171
JULIE PODIYAMMA JOHN
Nurse Practitioner (Acute Care)
3142 HORIZON RD STE 110
ROCKWALL, TX 75032
Rockwall County (972) 771-1171

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 Kelsey Etley's NPI number?

The NPI number for Kelsey Etley is 1730511882. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Where is Kelsey Etley located?

Kelsey Etley practices at 3142 Horizon Rd Ste 110, Rockwall, TX 75032. The listed phone number is (972) 771-1171.

What is Kelsey Etley's specialty?

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

Is Kelsey Etley enrolled in Medicare?

Yes. Kelsey Etley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Etley was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.