Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104551977 Individual Practitioner Male Practitioner

Kevin Lewallen

Physician Assistant • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Kevin Lewallen is a registered healthcare professional specializing in Physician Assistant in Fort Worth, TX. Practice services are available at 1301 PENNSYLVANIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1301 Pennsylvania Ave

Fort Worth, TX 761042122

Telephone 8172503152
Associated Practice Facility / Clinic
🏢 Texas Health Physicians Group Facility NPI 1174573596

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
604 Specialists

Practicing in Fort Worth, TX (11140 Statewide)

Telehealth Adoption Rate
13.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

4770 Regent Blvd

Irving, TX 750632445

Phone: 9728913750

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003011297

Doctor of Medicine (M.D.)

NPI 1003311226

Doctor of Medicine (M.D.)

Jana Mitchell , RNC

Registered Nurse - Neonatal Intensive Care

NPI 1003414996
Stacy Rosebrook , APRN, NNP-BC

Nurse Practitioner - Neonatal

NPI 1013248723

Advanced Practice Registered Nurse, NNPBC

Allyson Murray , MSN, RNC, NNP

Nurse Practitioner - Neonatal

NPI 1013971084

Master of Science in Nursing, RNC, NNP

Patricia Gillum , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013994110

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 18, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2022

Registered at 1301 PENNSYLVANIA AVE, FORT WORTH, TX 761042122 (Tel: 8172503152)

📍
Updated Business Mailing Address July 18, 2022

Registered at 4770 REGENT BLVD, IRVING, TX 750632445 (Tel: 9728913750)

👤
Provider Name / Credentials Updated July 18, 2022

Recorded as KEVIN LEWALLEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 18, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104551977
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2022
Last Update: July 18, 2022
Sole Proprietor: No

Mailing Address

4770 Regent Blvd

Irving, TX 750632445

Phone: 9728913750

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.