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

Individual provider Medical Physician Assistant · NPI 1518529908

Kelsie Jordyn Speckner, PA-C is a Physician Assistant in Southlake, Texas. Qualified in 2019, 7 years ago. Practices with Texas Digestive Disease Consultants, PLLC, a 615-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
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

505 S Nolen Dr
Southlake, TX 76092-9167
Phone: (817) 424-1525
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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 PA13404 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA13404 (TX)

Record details

NPI number1518529908
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 5, 2019
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

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 Texas Digestive Disease Consultants, Pllc — 615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Southlake