Kelsie Addison
Individual provider Active NPI Physician Assistant · Abingdon, VA
NPI 1215604194 · NPPES record last updated Aug 27, 2021
Key facts
- NPI
- 1215604194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 418 E Main St
Abingdon, VA 24210-3408 - Phone
- (276) 451-3044
- Fax
- (276) 206-2228
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ear Nose Throat and Allergy Consultants PC
Practice addresses (Care Compare)
418 E Main St
Abingdon, VA 24210-3408
Phone (276) 451-3044
Hospital & facility affiliations
- Johnston Memorial Hospital
- Wellmont Bristol Regional Medical Center
- Smyth County Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211101001099 | VA | Practitioner - Physician Assistant | 8527456177 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abingdon Eye Associates, P.C. | Current |
Accepting new patients |
Locations
418 E Main St
Abingdon, VA 24210
Phone (276) 451-3044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
418 E Main St
Abingdon, VA 24210-3408
Mailing address
418 E Main St
Abingdon, VA 24210-3408
Phone (276) 451-3044
Other providers in Abingdon, VA
- Ashley Adams
- Isabella Katherine Adams
- Justin Mathew Adams
- Makynzee Cantrell Adams
- Cindy C Addison
- Lukas Addison
- Addus Healthcare, Inc.
- Keyur Adhvaryu
- Jarrett Michael Adkins
- Anthonia Tienche Ajong
All providers in Abingdon, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.