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

Kelsey Granger, PA

Individual provider Physician Assistant · NPI 1760255863

Kelsey Granger, PA is a Physician Assistant in Las Vegas, Nevada. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2023, 3 years ago. Practices with Prescott Healthcare Solutions LLC, a 199-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Nevada.

Years since qualifying
3
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
AZ, NV
In the registry since
2023
Specialties on file
3
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

620 Shadow Ln
Las Vegas, NV 89106-4119
Phone: (702) 259-1228
Fax: (928) 772-2582
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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 PA3011 (NV)
Physician Assistant Taxonomy 363A00000X · Licence 10295 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA0685 (NV)

Record details

NPI number1760255863
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 1, 2023
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2023 (3 years in practice)
Group practice Prescott Healthcare Solutions Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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