Kelsea B Combs, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TC123 Issued in KY

Practice address

1484 Lakeside Dr
Jackson, KY 41339-6555

Phone

(606) 666-9950

Fax

(606) 666-9136

NPI assigned

May 5, 2021

Last updated

Sep 29, 2021By the provider in NPPES

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 KY

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

University of Kentucky College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Juniper Health IncGroup PAC ID 2961453618, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marcum and Wallace Memorial Hospital Hospital, Irvine, KY, CCN 181301

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelsea.combs.p1@direct.juniperhealth.nextgenshare.com
• Direct secure messaging: kelseacombs@juniperhea.allscriptsdirect.net

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

• Juniper Health Inc

  dba Lee County Family Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Beattyville, KY
  • NPI 1407818628
  Medicare reassignment Care Compare group
• Juniper Health Inc

  dba Juniper Health Jackon City School

  • Federally Qualified Health Center (FQHC)
  • Jackson, KY
  • NPI 1821876483
  NPD
• QPS LLC

  dba Elliott Pharmacy

  • Community/Retail Pharmacy
  • Sandy Hook, KY
  • NPI 1538901186
  NPD
• Juniper Health Inc

  dba Breathitt County Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Jackson, KY
  • NPI 1467417691
  NPD (past)

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

• Mercy Health-Marcum & Wallace Hospital LLC

  dba Mercy Health Marcum and Wallace Hospital

  • Critical Access Hospital
  • Irvine, KY
  • NPI 1487643821
  Care Compare affiliation

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1265015317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "413110690",
            "telephone_number": "606-464-0151",
            "fax_number": "606-464-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 LAKESIDE DR",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413396555",
            "telephone_number": "606-666-9950",
            "fax_number": "606-666-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "KELSEA",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clemente V. Zulueta, Jr., MD, PLLC
• Allie Clevenger, PA-C
• Patricia A Cockerham, LCSW
• Jessica Collins, LCSW
• Ida Combs
• Scotty Dwayne Combs, APRN
• Vicey Ann Combs
• County Line Primary Care (Jackson Medical Clinic Family Health Care)
• Ashley Cox, OT
• Linda Gail Cox, L.P.C.C.

• Physician Assistant in Jackson, KY
• Providers in Jackson, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.