Kelsey Elliott, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA003814 Issued in PA

Practice address

135 Midway Dr Ste B
Du Bois, PA 15801-3857

Phone

(814) 371-2348

NPI assigned

Jul 20, 2016

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

Other identifiers 1

Other names 1

• Kelsey Parfitt Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Trucare Internal Medicine & Infectious Diseases PLLC

  • Infectious Disease Physician
  • Du Bois, PA
  • NPI 1316305626
  Medicare reassignment

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1255784781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MIDWAY DR STE B",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013857",
            "telephone_number": "814-371-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MIDWAY DR STE B",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013857",
            "telephone_number": "814-371-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KELSEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031828770",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "PARFITT",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marlena Ehrensberger
• Jennifer S Eirich
• Hazem F Elkassas, MD
• Kathleen Mary Ellenberger, RN, BSN
• Jamie Lynn Ellinger, B. A.
• Emily Emerson, OD
• Rex D Evans, PA-C
• Sarah Evans, CRNP
• Devin James Ewing, DNAP, CRNA
• John A Fabre, MD

• Physician Assistant in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.