Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelli Twedell, PA-C

Individual provider Surgical Physician Assistant · NPI 1477059228

Kelli Twedell, PA-C is a Physician Assistant in Dallas, Texas. Qualified in 2017, 9 years ago. Practices with Premier Provider Health PA, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5744 Lbj Fwy Ste 100
Dallas, TX 75240-6322
Phone: (214) 466-2828
Fax: (214) 382-9798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7300 Eldorado Pkwy Ste 260, McKinney, TX 75070-3826 — (972) 747-0440

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA11922 (TX)

Record details

NPI number1477059228
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 2, 2018
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Premier Provider Health Pa — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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