Individual provider Active NPI

Kelsey Czekai, PA-C

  • Medical Physician Assistant
  • Columbia, PA
National Provider Identifier
1063954501
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA058449 Issued in PA
Practice address
369 Locust Street
First Floor
Columbia, PA 17512
Phone
(717) 342-2577
Fax
(717) 449-5082
NPI assigned
Nov 15, 2016
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA058449 PA Primary
Family Medicine Physician 207Q00000X OA003971 PA

Addresses

Primary practice location

369 Locust Street
First Floor
Columbia, PA 17512

Mailing address

116 S George St Ste 301
York, PA 17401-1443
Phone (717) 801-4821

Other practice location 1

3402 F St
Philadelphia, PA 19134-1225
Phone (215) 634-5481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA003971PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Health Corporation PastSince Sep 11, 2022 Accepting new patients
Jonathan B. Levyn, D.O. PC Family Medicine Past Accepting new patients
Jonathan B Levyn, DO-PC Medical Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1063954501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST STE 301",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011443",
            "telephone_number": "717-801-4821",
            "fax_number": "717-854-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 LOCUST STREET",
            "address_2": "FIRST FLOOR",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "17512",
            "telephone_number": "717-342-2577",
            "fax_number": "717-449-5082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3402 F St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191341225",
            "country_code": "US",
            "telephone_number": "215-634-5481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZEKAI",
        "first_name": "KELSEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058449",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OA003971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.