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

Kelly Wiswell

Individual provider Physician Assistant · NPI 1447880703

Kelly Wiswell is a Physician Assistant in San Antonio, Texas. Qualified in 2019, 7 years ago. Practices with Plastic Reconstructive and Microsurgical Associates of South Texas Pll, a 25-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2020
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Practice location Address checks out

3333 Research Plz
San Antonio, TX 78235-5154
Phone: (210) 297-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1447880703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 24, 2020
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020
Mailing address5623 Hamilton Wolfe Apt 134, San Antonio, TX 78240-4021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Plastic Reconstructive And Microsurgical Associates Of South Texas Pll — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Antonio