Healthcare Provider Details

I. General information

NPI: 1790621134
Provider Name (Legal Business Name): KELSIE SCHIEFELBEIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W 38TH ST
AUSTIN TX
78705-1006
US

IV. Provider business mailing address

1201 W 38TH ST
AUSTIN TX
78705-1006
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-3028
  • Fax: 512-324-3454
Mailing address:
  • Phone: 512-324-3028
  • Fax: 512-324-3454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA20449
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: