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

Kendall Van de Walle, PA

Individual provider Physician Assistant · NPI 1720836125

Kendall Van de Walle, PA is a Physician Assistant in College Station, Texas. Graduated from University of Texas Medical Branch at Galveston in 2024, 2 years ago. Practices with Scott and White Clinic, a 2,429-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2024
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

800 Scott And White Dr
College Station, TX 77845-6440
Phone: (979) 207-4000
Fax: (979) 207-4562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Po Box 15, Chriesman, TX 77838-0015 — (409) 772-0107

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18424 (TX)

Record details

NPI number1720836125
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 9, 2024
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2024 (2 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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