JEANA KELLY (PA-C) – Surgical Physician Assistant, NPI 1023040631
Surgical Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for JEANA KELLY (PA-C)
Jack in the Box, South Post Oak Road, Houston, Fort Bend County, Texas, 77053, United States
HOUSTON, TX 772161088
Phone: (713) 500-3500
Type: Mailing
6400 FANNIN ST STE 1700
HOUSTON, TX 770301526
Phone: (713) 500-3500
Type: Mailing
Fannin Street, Houston, Harris County, Texas, 77201, United States
DEPARTMENT OF ORTHOPAEDIC SURGERY
HOUSTON, TX 770301514
Phone: (713) 486-7560
Fax: (713) 486-7512
Type: Location
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: 2005-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050913001264 | I | Physician Assistant | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 77216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | TX | |
| Emergency Medicine | IL | |
| Anesthesiology, Critical Care (Intensivists) | TX | |
| A N E S T H E S I O L O G Y | TX | |
| - | TX | |
| Diagnostic Radiology | TX | |
| Physician Assistant | TX | |
| Certified Nurse Midwife (Cnm) | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Physician Assistant | TX |
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