MR. WILLIAM DAVID KELLEY (PA) – Surgical Physician Assistant, NPI 1952351272

MR. WILLIAM DAVID KELLEY (PA) is a healthcare provider. based in Henderson, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA1058 (NV). The NPI Number for MR. WILLIAM DAVID KELLEY (PA) is 1952351272

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MR. WILLIAM DAVID KELLEY (PA)
NPI
1952351272
Phone
(702) 565-6565
Address
100 N GREEN VALLEY PKWY
Enumeration Date
10 May 2006
Last Update Date
12 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027987990
Graduation Year
1985 (41 years ago)
PAC ID
2769437524
Group Practice PAC ID
0941103303
Professional Enrollment ID
I20070525000386
Address ID
NV891197848LA2325XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

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Provider Addresses for MR. WILLIAM DAVID KELLEY (PA)

  • Parkway Surgery Center, 100, North Green Valley Parkway, Green Valley Ranch, Henderson, Clark County, Nevada, 89074, United States

    SUITE 310

    HENDERSON, NV 890746391

    Phone: (702) 565-6565

    Fax: (702) 565-8898

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070525000386IPhysician AssistantNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2,505261$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes268129$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes121110$0
99316Nursing facility discharge management, more than 30 minutes5756$0
99497Advance care planning, first 30 minutes5552$0
View full utilization report →

Insurance plans in this area (ZIP 89074)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941103303View full group profile
NameSpecialtyState
Nurse PractitionerNV
Internal MedicineNV

Reviews

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Frequently asked questions

What number should I use to identify MR. WILLIAM DAVID KELLEY (PA) for billing?
Administrative and clinical systems typically use NPI 1952351272 for MR. WILLIAM DAVID KELLEY (PA).
Does the public listing show MR. WILLIAM DAVID KELLEY (PA) as active?
MR. WILLIAM DAVID KELLEY (PA)'s NPI record reflects an active status in NPPES.
What does the directory say MR. WILLIAM DAVID KELLEY (PA) does?
Insurance directories may phrase it differently, but here MR. WILLIAM DAVID KELLEY (PA) maps to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. WILLIAM DAVID KELLEY (PA)?
MR. WILLIAM DAVID KELLEY (PA) is associated with Henderson, Nevada in the same public data insurers reference.
Why is information missing for MR. WILLIAM DAVID KELLEY (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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