Kelsey Elizabeth Richard, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2145 Country Club Rd Ste 100
Jacksonville, NC 28546-0145

Phone

(910) 333-9337

Fax

(910) 333-8607

NPI assigned

Jun 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Dermatology Associates of Coastal Carolina PAGroup PAC ID 1658375092, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelseyr@coastaldermatology.emadirect.md

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.

• Dermatology Associates of Coastal Carolina, PA

  • Dermatopathology Physician
  • New Bern, NC
  • NPI 1619903176
  Medicare reassignment Care Compare group NPD
• Coastal Dermatology & Surgery Center, PA

  • Specialist
  • Wilmington, NC
  • NPI 1982820031
  Medicare reassignment
• DRX High Point, PLLC

  • Multi-Specialty Clinic/Center
  • High Point, NC
  • NPI 1669701306
  Medicare reassignment
• Dermatology Associates of Coastal Carolina

  • Clinical & Laboratory Dermatological Immunology Physician
  • Jacksonville, NC
  • NPI 1033459011
  NPD
• Coastal Cardiology Associates, PA

  • Cardiovascular Disease Physician
  • Wilmington, NC
  • NPI 1770691735
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Onslow Memorial Hospital Inc

  • General Acute Care Hospital
  • Jacksonville, NC
  • NPI 1679535496
  Care Compare affiliation

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

{
    "created_epoch": "1561852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1124680186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036002",
            "telephone_number": "910-343-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 COUNTRY CLUB RD STE 100",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285460145",
            "telephone_number": "910-333-9337",
            "fax_number": "910-333-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-30",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mari T Rhodes, MSW, LCSW
• Michelle A Rhude, CNM
• Leeanna Rice, LCSWA
• Kelly Gardner Rich, MD
• Richard K F Leung MD PC
• Benjamin John Richards, D.M.D.
• Darianna Richards
• Courtney Richardson
• Amanda Gayle Rickard, BCBA
• Macie Lee Ricketts, NP

• Physician Assistant in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.