KELLY WISWELL – Physician Assistant, NPI 1447880703
Physician Assistant
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for KELLY WISWELL
5623 HAMILTON WOLFE APT 134
SAN ANTONIO, TX 782404021
Phone:
Type: Mailing
3333 RESEARCH PLZ
SAN ANTONIO, TX 782355154
Phone: (210) 297-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,002.
Total Amount is formed as General ($1,002) + Research ($0) + Ownership ($0) = $1,002.
Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Amgen Inc. ($230).
Total Amount
$1,002
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,002
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $230 |
| TELA Bio, Inc. | $175 |
| Medtronic, Inc. | $152 |
| Inari Medical, Inc. | $132 |
| Novo Nordisk Inc | $120 |
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: 2020-03-27
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 |
|---|---|---|---|---|
| I20200327000215 | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 37 | 37 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 19 | 19 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 15 | 15 | $0 |
| 99291 | Critical care, first 30-74 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 78240)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Plastic And Reconstructive Surgery | TX | |
| Physician Assistant | GA | |
| Physician Assistant | TX | |
| Plastic And Reconstructive Surgery | TX | |
| Physician Assistant | TX | |
| Plastic And Reconstructive Surgery | GA | |
| Physician Assistant | TX | |
| - | TX | |
| Physician Assistant | TX |
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