Lisa Kelly, PA-C - Medicare Physician Assistant in Grand Prairie, TX

Lisa Kelly, PA-C is a medicare enrolled "Physician Assistant - Medical" in Grand Prairie, Texas. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Healthtexas Provider Network and her current practice location is 2740 N Hwy 360, Grand Prairie, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 606-8300.

Lisa Kelly is licensed to practice in Texas (license number PA05811) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801187158.

Contact Information

Lisa Kelly, PA-C
2740 N Hwy 360,
Grand Prairie, TX 75050-6403
(972) 606-8300
Not Available

Map and Direction




Provider's Profile

Full NameLisa Kelly
GenderFemale
SpecialityPhysician Assistant
Experience16 Years
Location2740 N Hwy 360, Grand Prairie, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Kelly graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1801187158
  • Provider Enumeration Date: 04/20/2011
  • Last Update Date: 04/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567640139
  • Enrollment ID: I20110629000832

Medical Identifiers

Medical identifiers for Lisa Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801187158NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA05811 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthtexas Provider Network13552542101844

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Kelly, PA-C
925 Wildwood Cir,
Grapevine, TX 76051-6275

Ph: () -
Lisa Kelly, PA-C
2740 N Hwy 360,
Grand Prairie, TX 75050-6403

Ph: (972) 606-8300

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.