NPI age
5 years
Enumerated 2021-05-13
● Active
Type 1 · Individual
Kelly Ann Tanase, PA-C
Tanase is 1 of 1160 physician assistant providers in Dallas and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-09-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
5 years
↓ 5 yr below median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-05Enumerated in NPPES
2021
2026
Where they practice
Practice location
12606 Greenville Ave Ste 185
Dallas, TX 752431921
Mailing address
12606 Greenville Ave Ste 185
Dallas, TX 752431921
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
515 W Mayfield Rd Ste 210
Arlington, TX 760144596
Location 3
3141 E Broad St Ste 321
Mansfield, TX 760636439
Location 4
5919 Birchbrook Dr Apt 119
Dallas, TX 752064515
Specialties
-
Physician Assistant PrimaryA 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...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 15 new physician assistant providers have been added in Dallas in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.