Registry record
- NPI
- 1457220592
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 1505 Lakecrest Dr
Granite Shoals, TX 78654 - Phone
- 5126953385
- In the registry since
- November 4, 2025
- Last NPPES update
- June 3, 2026
- Sole proprietor
- Yes
- License
- PA20480 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Kelly Neilson is 1457220592. They are a Physician Assistant in Granite Shoals, Texas.
Kelly Neilson is the only Physician Assistant in Granite Shoals in our data, and one of 11,405 across Texas.
Frequently asked questions
What is NPI 1457220592?
NPI 1457220592 is the 10-digit National Provider Identifier assigned to Kelly Neilson, a Physician Assistant practicing in Granite Shoals, Texas. The record has been in the NPPES registry since November 4, 2025.
How do I verify this provider?
Cross-check NPI 1457220592 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA20480 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as June 3, 2026. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.