KELLY WOOLLEY (PAC) – Medical Physician Assistant, NPI 1063471175

KELLY WOOLLEY (PAC) is a healthcare provider. based in Plano, Texas. specializing in Medical Physician Assistant. They hold the professional credentials PAC. They hold a License No. 03901 (TX). The NPI Number for KELLY WOOLLEY (PAC) is 1063471175

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KELLY WOOLLEY (PAC)
NPI
1063471175
Phone
(972) 250-5700
Address
5228 W PLANO PKWY
Enumeration Date
20 March 2006
Last Update Date
1 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4692778255
Graduation Year
2003 (23 years ago)
PAC ID
7113996042
Group Practice PAC ID
1355620055
Professional Enrollment ID
I20040928000801
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

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Provider Addresses for KELLY WOOLLEY (PAC)

  • West Plano Parkway, Plano, Collin County, Texas, 75075, United States

    PLANO, TX 750935005

    Phone: (972) 250-5700

    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)

CMS reports 7 Open Payments records for all available years, with a total value of $780.

Total Amount is formed as General ($780) + Research ($0) + Ownership ($0) = $780.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Nevro Corp. ($243).

Total Amount

$780

General + Research + Ownership

Payments

7

Total payment records

General Amount

$780

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75093)

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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: 1355620055View full group profile
NameSpecialtyState
Physician AssistantTX
-TX
Physician AssistantTX
Orthopedic SurgeryTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-CA
Orthopedic SurgeryTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is the registry number for KELLY WOOLLEY (PAC)?
The registry entry for KELLY WOOLLEY (PAC) shows NPI 1063471175.
Does the public listing show KELLY WOOLLEY (PAC) as active?
KELLY WOOLLEY (PAC)'s NPI record reflects an active status in NPPES.
What services align with KELLY WOOLLEY (PAC)'s listing?
KELLY WOOLLEY (PAC)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to KELLY WOOLLEY (PAC)?
The directory associates KELLY WOOLLEY (PAC) with Plano, Texas. Check all listed addresses for suites or satellite offices.
Who maintains KELLY WOOLLEY (PAC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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