MR. WILLIAM DAVID KELLEY PA NPI 1952351272

NPI Information

  • NPI: 1952351272
  • Provider Name: MR. WILLIAM DAVID KELLEY, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 N GREEN VALLEY PKWY
    SUITE 310
    HENDERSON, NV
    ZIP 89074
  • Phone: (702) 565-6565

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NPI Details

MR. William David Kelley, PA is a surgical physician assistant in Henderson, NV with 41 years of experience. MR. William David Kelley, PA NPI is 1952351272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 N GREEN VALLEY PKWY
SUITE 310
HENDERSON, NV
ZIP 89074-391
Phone: (702) 565-6565
Fax: (702) 565-8898

The NPI 1952351272 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.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)

The enumeration date for this NPI number is 5/10/2006 and was last updated on 2/12/2008.

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 AssistantSurgicalPA1058NEVADAYes

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
1P00442052OTHERNEVADARAILROAD MEDICARE
2104504MEDICARE PINNEVADA
30655010001MEDICARE NSCNEVADA

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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