Active NPI
Kelsey Ann Kramer, PA
- Physician Assistant
- Bolivia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001011358
- Practice address
- 240 Hospital Dr NE
Bolivia, NC 28422-8346 - Phone
- (910) 921-2070
- Fax
- (910) 721-2074
- NPI assigned
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001011358 | NC | Primary |
Addresses
Primary practice location
240 Hospital Dr NE
Bolivia, NC 28422-8346
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (910) 721-2070
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkramer326108@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Wake Forest University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 School Rd
Naknek, AK 99633-0211
Phone (907) 246-6155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001011358 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Medical Group Inc | Current | Accepting new patients | |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Norton Sound Health Corporation | Physician Assistant | Current | Accepting new patients |
| Alaska Imaging Associates, LLC | Past | Accepting new patients |
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- kelsey.kramer.1@20726.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Naknek, AK
- NPI 1679718019
-
- Critical Access Hospital
- Nome, AK
- NPI 1154358232
Physician Assistant
-
- Emergency Medicine Physician
- Bolivia, NC
- NPI 1457822264
-
- Emergency Medicine Physician
- Jefferson, NC
- NPI 1720495336
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Psychiatry Physician
- Salisbury, NC
- NPI 1831609106
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Nome, AK
- NPI 1427187046
-
- Diagnostic Radiology Physician
- Anchorage, AK
- NPI 1063466688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1083389464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "910-721-2070",
"fax_number": "910-721-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 HOSPITAL DR NE",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284228346",
"telephone_number": "910-921-2070",
"fax_number": "910-721-2074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "KELSEY",
"middle_name": "ANN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001011358",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kkramer326108@direct.novanthealth.org",
"affiliation": "N",
"address_1": "240 Hospital Dr NE",
"city": "Bolivia",
"state": "NC",
"country_code": "US",
"postal_code": "284228346",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bolivia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.