Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Aileen Fenimore-Gonzales, PA-C

Individual provider Physician Assistant · NPI 1720188295

Kelly Aileen Fenimore-Gonzales, PA-C is a Physician Assistant in Colleyville, Texas. Qualified in 2000, 26 years ago. Practices with Texas Health Physicians Group, a 1,356-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
26
Licensed in
TX
In the registry since
2006
Specialties on file
2
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

5207 Heritage Ave
Colleyville, TX 76034
Phone: (817) 355-8000
Fax: (817) 391-1070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA02796 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA02796 (TX)

Record details

NPI number1720188295
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Colleyville