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LISA KELLY PA-C
NPI 1801187158
Physician Assistant - Medical in Grand Prairie, TX

Active since April 20, 2011PECOS EnrolledAccepts Medicare Assignment
2740 N HWY 360, GRAND PRAIRIE, TX 75050(972) 606-8300 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Kelly Pa-c NPPES

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

LISA KELLY PA-C (NPI 1801187158) is an individual medical provider in Grand Prairie, Texas, licensed in Texas (PA05811) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1801187158
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLISA KELLYCredential: PA-C
Location Address2740 N HWY 360Grand Prairie, TX 75050-6403
Mailing Address925 Wildwood CirGrapevine, TX 76051-6275
Phone(972) 606-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 20, 2011
Last NPPES UpdateApril 4, 2022
NPPES CertifiedApril 4, 2022
✔ NPI 1801187158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA05811
2740 N HWY 360, Grand Prairie, TX 75050
Open in Google Maps ↗

Accepted Insurance

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

Lisa Kelly 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 ID2567640139
PECOS Enrollment IDI20110629000832
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 4

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 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.
125 services125 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services15 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.
13 services13 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
12 services12 patients

Other Providers at the Same Location NPPES 4

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

MRS. ELSIE MANUEL MSN, APRN, FNP-BC
Nurse Practitioner (Family)
2740 N HWY 360
GRAND PRAIRIE, TX 75050
Dallas County (972) 606-8300
MRS. SUSAN RENEE CARLSON MSN, ANP
Nurse Practitioner (Adult Health)
2740 N HWY 360, SUITE 100
GRAND PRAIRIE, TX 75050
Dallas County (972) 606-8300
DR. JAMES DAVID PETERS D.O.
Obstetrics & Gynecology
2740 N HWY 360, SUITE 100
GRAND PRAIRIE, TX 75050
Dallas County (972) 606-8300
HEALTHTEXAS PROVIDER NETWORK
Family Medicine
2740 N HWY 360, SUITE 100
GRAND PRAIRIE, TX 75050
Dallas County (972) 606-8300

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 Lisa Kelly's NPI number?

The NPI number for Lisa Kelly is 1801187158. It was assigned to this individual provider in the NPPES registry on April 20, 2011.

Where is Lisa Kelly located?

Lisa Kelly practices at 2740 N Hwy 360, Grand Prairie, TX 75050. The listed phone number is (972) 606-8300.

What is Lisa Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lisa Kelly enrolled in Medicare?

Yes. Lisa Kelly 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 Lisa Kelly accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Lisa Kelly 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.

When was this NPI record last updated?

The NPPES record for Lisa Kelly was last updated on April 4, 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.