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Active NPI 1225061435 Individual Practitioner Female Practitioner

Kelli Elaine Fatheree , PA-C

Physician Assistant • Frisco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelli Fatheree, PA-C is a certified Physician Assistant practicing in Frisco, TX. With approximately 21 years of clinical experience since completing medical education in 2005, Kelli Fatheree delivers high-quality medical care to the local community at 7460 WARREN PKWY.

Kelli Fatheree is affiliated with Mobile Wound Professionals Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

7460 Warren Pkwy
Suite 160

Frisco, TX 750344169

Telephone 9726685400
Associated Practice Facility / Clinic
🏢 Steve Randall Buck Do Pa Facility NPI 1225069164

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Frisco, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +12.3 yrs vs City Avg
City Avg: 8.7 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
105 Specialists

Practicing in Frisco, TX (11140 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fatheree (21 Years) 21 Yrs
Frisco Specialty Average (8.7 Years) 8.7 Yrs

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License LA PA200105RX

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1040312 (LA)
Commercial Insurance / Payer ID Railroad Ptan
P01226202 (TX)

Hospital & Practice Group Affiliations

Mobile Wound Professionals Llc

6012 Timber Creek Ln, Dallas, TX 752482135

Phone: 9723384070

Practice Associates & Co-Workers

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

11 Associated Practitioners
Susan Trigg , PA

Physician Assistant - Medical

NPI 1235229212

Physician Assistant

Holly Wolfe , FNP-C

Nurse Practitioner - Family

NPI 1447383732

Family Nurse Practitioner (Certified)

Bosamma Thomas , FNP-C

Nurse Practitioner - Family

NPI 1528338670

Family Nurse Practitioner (Certified)

Jiby Mathew , FNP

Nurse Practitioner - Family

NPI 1538282389

Family Nurse Practitioner

Peace Uwaeme , FNP-C

Nurse Practitioner - Family

NPI 1558612325

Family Nurse Practitioner (Certified)

Kimberly Maus , NP

Nurse Practitioner - Adult Health

NPI 1669428249

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2013

Registered at 7460 WARREN PKWY, SUITE 160, FRISCO, TX 750344169 (Tel: 9726685400)

📍
Updated Business Mailing Address November 22, 2013

Registered at 7460 WARREN PKWY, SUITE 160, FRISCO, TX 75034 (Tel: 9726685400)

👤
Provider Name / Credentials Updated November 22, 2013

Recorded as KELLI FATHEREE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2013

Physician Assistant (License #PA200105RX in LA)

🟢
Initial NPI Registration & Enumeration July 09, 2006

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: 1225061435
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2006
Last Update: November 22, 2013
Sole Proprietor: No

Mailing Address

7460 Warren Pkwy, Suite 160

Frisco, TX 75034

Phone: 9726685400

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.