KELLYE MOORE-TEXTER (PA-C) – Physician Assistant, NPI 1891354247

KELLYE MOORE-TEXTER (PA-C) is a healthcare provider. based in Dayton, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.005913RX (OH). The NPI Number for KELLYE MOORE-TEXTER (PA-C) is 1891354247

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KELLYE MOORE-TEXTER (PA-C)
NPI
1891354247
Phone
(937) 208-8000
Address
1 Wyoming St
Enumeration Date
10 June 2019
Last Update Date
12 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
8628408184
Group Practice PAC ID
8921022260
Professional Enrollment ID
I20200423002235
Address ID
OH453731337TR3130XRDXX400

Contacts

Secure Messaging
kmooretexter715124@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for KELLYE MOORE-TEXTER (PA-C)

  • 1 Wyoming St

    Dayton, OH 454092722

    Phone: (937) 208-8000

    Type: Location

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (419) 739-1980

    Fax: (419) 739-1982

    Type: Mailing

  • 1258 BELLEFONTAINE ST STE A

    WAPAKONETA, OH 458959775

    Phone: (419) 739-1980

    Fax: (419) 739-1980

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $177.

Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: ABBVIE INC. ($52).

Total Amount

$177

General + Research + Ownership

Payments

8

Total payment records

General Amount

$177

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-04-23

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
I20200423002235IPhysician AssistantOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9885$0
81003Automated urinalysis test3332$0
51798Ultrasound measurement of bladder capacity after voiding3129$0
99443Telephone medical discussion with physician, 21-30 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 45409)

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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: 8921022260View full group profile
NameSpecialtyState
Nurse PractitionerOH
Mental Health CounselorOH
-OH
O T O L A R Y N G O L O G YOH
Orthopedic SurgeryOH
O T O L A R Y N G O L O G YOH
Qualified AudiologistOH
-OH
Mental Health CounselorOH
General SurgeryOH

Reviews

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Frequently asked questions

How is KELLYE MOORE-TEXTER (PA-C) identified in CMS data?
CMS-hosted NPPES data lists KELLYE MOORE-TEXTER (PA-C) with NPI 1891354247.
Does CMS list KELLYE MOORE-TEXTER (PA-C) as active?
Yes — KELLYE MOORE-TEXTER (PA-C) is active in the NPI listing used on this page.
What taxonomy line describes KELLYE MOORE-TEXTER (PA-C)?
For research purposes, treat KELLYE MOORE-TEXTER (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is KELLYE MOORE-TEXTER (PA-C) based?
KELLYE MOORE-TEXTER (PA-C) is tied to Dayton, Ohio in the data we show; additional addresses may exist on the full record.
Is the information about KELLYE MOORE-TEXTER (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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