KELLI TWEDELL PA-C NPI 1477059228

NPI Information

  • NPI: 1477059228
  • Provider Name: KELLI TWEDELL, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5744 LBJ FWY STE 100
    DALLAS, TX
    ZIP 75240
  • Phone: (214) 466-2828

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NPI Details

Kelli Twedell, PA-C is a surgical physician assistant in Dallas, TX with 9 years of experience. Kelli Twedell, PA-C NPI is 1477059228. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5744 LBJ FWY STE 100
DALLAS, TX
ZIP 75240-322
Phone: (214) 466-2828
Fax: (214) 382-9798

The NPI 1477059228 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval (HCPCS:G0277)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Management of oxygen chamber therapy (HCPCS:99183)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 4/2/2018 and was last updated on 9/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA11922TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA11922OTHERTEXASTEXAS MEDICAL BOARD
2382709902MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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