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

Kelly Wentzel, PA

Individual provider Physician Assistant · NPI 1528570892

Kelly Wentzel, PA is a Physician Assistant in Lebanon, Tennessee. Qualified in 2017, 9 years ago. Practices with Iredell Physician Network LLC, a 89-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and Tennessee.

Years since qualifying
9
Licensed in
NC, TN
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1407 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone: (615) 444-6203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 653 Bluefield Rd Ste A, Mooresville, NC 28117-9626 — (704) 360-6460
  • 1540 E Broad St, Statesville, NC 28625-4302 — (704) 380-6900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3405 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 327683 (NC)

Record details

NPI number1528570892
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 26, 2017
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025

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 Iredell Physician Network Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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