KELLY A. WILLIAMSON (PA-C) – Medical Physician Assistant, NPI 1053621052

KELLY A. WILLIAMSON (PA-C) is a healthcare provider. based in Harleysville, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA054630 (PA). The NPI Number for KELLY A. WILLIAMSON (PA-C) is 1053621052

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KELLY A. WILLIAMSON (PA-C)
NPI
1053621052
Phone
(215) 453-4995
Address
PO BOX 1111
Enumeration Date
12 October 2010
Last Update Date
2 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
0749460707
Group Practice PAC ID
8022001924
Professional Enrollment ID
I20110208000539
Address ID
PA194463703LA419XXUNIT512
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for KELLY A. WILLIAMSON (PA-C)

  • PO BOX 1111

    HARLEYSVILLE, PA 194380907

    Phone: (215) 453-4995

    Fax: (215) 453-4646

    Type: Mailing

  • 915 LAWN AVE

    SUITE 203

    SELLERSVILLE, PA 189601551

    Phone: (215) 453-3400

    Fax: (215) 453-3410

    Type: Location

  • 801 OSTRUM ST

    BETHLEHEM, PA 180151000

    Phone:

    Type: Mailing

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 $848.

Total Amount is formed as General ($848) + Research ($0) + Ownership ($0) = $848.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($766).

Total Amount

$848

General + Research + Ownership

Payments

8

Total payment records

General Amount

$848

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2011-02-08

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
I20110208000539IPhysician AssistantPATBD

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
44205Partial removal of small and large bowel with attachment of small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 19438)

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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: 8022001924View full group profile

Reviews

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Frequently asked questions

Can I cross-check KELLY A. WILLIAMSON (PA-C) using NPI 1053621052?
NPI 1053621052 belongs to KELLY A. WILLIAMSON (PA-C); compare other details if you need extra assurance.
Active or inactive — what applies to KELLY A. WILLIAMSON (PA-C)?
You should see KELLY A. WILLIAMSON (PA-C) as active in CMS-hosted NPPES data.
How would a patient describe KELLY A. WILLIAMSON (PA-C)'s focus?
For KELLY A. WILLIAMSON (PA-C), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KELLY A. WILLIAMSON (PA-C) associated with Harleysville?
Public fields place KELLY A. WILLIAMSON (PA-C) around Harleysville, Pennsylvania. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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