Kelsey Ann Rothenberg, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

00109533 Issued in NC

Practice address

284 Executive Park Dr Ste 110
Concord, NC 28025-1834

Phone

(704) 237-4240

NPI assigned

Dec 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LLD Laboratories LLCGroup PAC ID 4981992468, 2 clinicians

B and D Integrated Health ServicesGroup PAC ID 9931253275, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelsey.rothenberg.p1@direct.bdihs.nextgenshare.com

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

• B & D Integrated Health Services

  • Family Medicine Physician
  • Durham, NC
  • NPI 1215022926
  Medicare reassignment Care Compare group
• LLD Laboratories, LLC

  • Clinical Medical Laboratory
  • Durham, NC
  • NPI 1295196780
  Medicare reassignment Care Compare group
• B & D Integrated Health Services

  • Family Medicine Physician
  • Wake Forest, NC
  • NPI 1689029605
  NPD

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1083252357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7932 WILBY HOLLOW DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701824",
            "telephone_number": "704-807-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 110",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251834",
            "telephone_number": "704-237-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENBERG",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "00109533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Rosenberg, PA
• Julia M Roskamp, M.A, FAAA
• Autumn Daniel Ross, LCMHC
• Sarah Ross
• Tyler Lang Ross, DPT
• Jonathan Rouse
• Rowan Vocational Opportunities, Inc.
• Rowan Vocational Opportunities, Inc.
• Samantha Rowe, OTD, OTR/L
• Jennifer Rowella

• Medical Physician Assistant in Concord, NC
• Providers in Concord, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.