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KAYLIE ALEXANDRA TEMPORAL PA
NPI 1861896300
Physician Assistant in Athens, TX

Active since October 13, 2014PECOS EnrolledAccepts Medicare Assignment
824 SOUTHPARK CIR, ATHENS, TX 75752(903) 675-7376(903) 677-4234 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaylie Alexandra Temporal Pa NPPES

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

KAYLIE ALEXANDRA TEMPORAL PA (NPI 1861896300) is an individual physician assistant in Athens, Texas, licensed in Texas (PA09471) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861896300
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAYLIE ALEXANDRA TEMPORALCredential: PA
Location Address824 SOUTHPARK CIRAthens, TX 75752-6943
Mailing Address824 Southpark CirAthens, TX 75752-6943 · (903) 675-7376 · Fax (903) 677-4234
Phone(903) 675-7376
Fax(903) 677-4234
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 13, 2014
Last NPPES UpdateApril 27, 2015
✔ NPI 1861896300 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 · PA09471
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.
824 SOUTHPARK CIR, Athens, TX 75752
Open in Google Maps ↗

Other Names 1

Former Name (1)Kaylie Alexandra Eldore Pa

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

Kaylie Alexandra Temporal 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 ID3375868938
PECOS Enrollment IDI20150203000853
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 3

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75752 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.

MELISSA ANN GARRETT RN, FNP-C
Nurse Practitioner (Family)
824 SOUTHPARK CIR
ATHENS, TX 75752
Henderson County (903) 675-7376
DANA KENNEDY CPNP-PC
Nurse Practitioner (Pediatrics)
824 SOUTHPARK CIR
ATHENS, TX 75752
Henderson County (903) 675-7376
VANDANA CHAR MD
Pediatrics
824 SOUTHPARK CIR
ATHENS, TX 75752
Henderson County (903) 675-7376

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 Kaylie Temporal's NPI number?

The NPI number for Kaylie Temporal is 1861896300. It was assigned to this individual provider in the NPPES registry on October 13, 2014. The provider is also known as Kaylie Alexandra Eldore PA.

Where is Kaylie Temporal located?

Kaylie Temporal practices at 824 Southpark Cir, Athens, TX 75752. The listed phone number is (903) 675-7376.

What is Kaylie Temporal's specialty?

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

Is Kaylie Temporal enrolled in Medicare?

Yes. Kaylie Temporal 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 Kaylie Temporal 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 1 other insurer list Kaylie Temporal 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 Kaylie Temporal affiliated with any hospitals?

According to CMS data, Kaylie Temporal is affiliated with Ut Health East Texas Tyler Regional Hospital, Christus Mother Frances Hospital and Ut Health East Texas Athens Hospital.

When was this NPI record last updated?

The NPPES record for Kaylie Temporal was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.