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MR. WILLIAM DAVID KELLEY PA
NPI 1952351272
Physician Assistant - Surgical in Henderson, NV

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
7.07/100
CMS Quality Rating
100 N GREEN VALLEY PKWY, SUITE 310, HENDERSON, NV 89074(702) 565-6565(702) 565-8898 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. William David Kelley Pa NPPES

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

MR. WILLIAM DAVID KELLEY PA (NPI 1952351272) is an individual surgical provider in Henderson, Nevada, licensed in Nevada (PA1058) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1952351272
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. WILLIAM DAVID KELLEYCredential: PA
Location Address100 N GREEN VALLEY PKWY, SUITE 310Henderson, NV 89074-6391
Mailing Address100 N Green Valley Pkwy, Suite 310Henderson, NV 89074-6391 · (702) 565-6565 · Fax (702) 565-8898
Phone(702) 565-6565
Fax(702) 565-8898
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 10, 2006
Last NPPES UpdateFebruary 12, 2008
✔ NPI 1952351272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NV · PA1058
100 N GREEN VALLEY PKWY, Henderson, NV 89074
Open in Google Maps ↗

Other Identifiers 3

OtherP00442052NV · Railroad Medicare
Medicare PIN104504NV
Medicare NSC0655010001NV

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

Mr. William David Kelley 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 ID2769437524
PECOS Enrollment IDI20070525000386
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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,790 services255 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
309 services120 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
105 services92 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
53 services53 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
32 services31 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
30 services30 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

7.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost23.59

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier15 claims440 services$3.81 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier15 claims6,954 services$0.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DAVID S GOTHELF D.O.
Family Medicine
100 N GREEN VALLEY PKWY, SUITE 210
HENDERSON, NV 89074
Clark County (702) 269-9995
DR. FARRUKH IQBAL MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 N GREEN VALLEY PKWY
HENDERSON, NV 89074
Clark County (702) 450-5002
DR. ROBERT J KARL M.D.
Family Medicine
100 N GREEN VALLEY PKWY, SUITE 239
HENDERSON, NV 89074
Clark County (702) 933-1485
PARKWAY IMAGING CENTER LLC
Physiological Laboratory
100 N GREEN VALLEY PKWY, STE 130
HENDERSON, NV 89074
Clark County (702) 990-7419
BARBARA ARMSTRONG-JOHNSON MD
Family Medicine
100 N GREEN VALLEY PKWY, STE 220
HENDERSON, NV 89074
Clark County (702) 944-3627
CONNIE L KNAPP APN
Nurse Practitioner (Obstetrics & Gynecology)
100 N GREEN VALLEY PKWY, #345
HENDERSON, NV 89074
Clark County (702) 260-0600
PARKWAY IMAGING CENTER, LLC
Clinic/Center (Radiology, Mobile)
100 N GREEN VALLEY PKWY, 130
HENDERSON, NV 89074
Clark County (702) 990-7419
MR. CHARLES W FLEISHER MD
Obstetrics & Gynecology
100 N GREEN VALLEY PKWY, STE 345
HENDERSON, NV 89074
Clark County (702) 260-0600

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 William Kelley's NPI number?

The NPI number for William Kelley is 1952351272. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is William Kelley located?

William Kelley practices at 100 N Green Valley Pkwy Suite 310, Henderson, NV 89074. The listed phone number is (702) 565-6565.

What is William Kelley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is William Kelley enrolled in Medicare?

Yes. William Kelley 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.

When was this NPI record last updated?

The NPPES record for William Kelley was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.