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

Mr. Kelly L. McDonald, PA

Individual provider Athletic Trainer · NPI 1972516359

Mr. Kelly L. McDonald, PA is a Physician Assistant in Estancia, New Mexico. Qualified in 2013, 13 years ago. Practices with Presbyterian Medical Services, a 132-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
13
Licensed in
NM
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

903 5th St # C
Estancia, NM 87016-1155
Phone: (505) 384-2777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2013-0057 (NM)
Athletic Trainer Taxonomy 2255A2300X · Licence 237 (NM)

Record details

NPI number1972516359
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Presbyterian Medical Services — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount