Individual provider Active NPI

Kelsey Grimm Cetrone, PA-C

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1306476171
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14634 Issued in NC
Practice address
2301 Erwin Rd
Durham, NC 27710-1544
Phone
(919) 684-8111
NPI assigned
Jan 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-14634 NC Primary

Addresses

Primary practice location

2301 Erwin Rd
Durham, NC 27710-1544

Mailing address

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201020001478 DC Practitioner - Physician Assistant 2466872007 Reassigns benefits to 1 organization
I20220614001125 MD Practitioner - Physician Assistant 2466872007 Reassigns benefits to 1 organization
I20250306003105 NC Practitioner - Physician Assistant 2466872007 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-14634NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc CurrentSince Dec 1, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Washington Hospital Center Corp CurrentSince Jul 18, 2020 Accepting new patients
Washington Hospital Center Corp CurrentSince Jul 18, 2020 Accepting new patients
University of Maryland Oncology Associates, PA CurrentSince May 16, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

110 Irving St NW
Ste 3B55
Washington, DC 20010
Phone (202) 877-7347

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

Interoperability endpoints

  • Direct secure messaging: kcetrone604589@direct.medicine.duke.edu
  • Direct secure messaging: eharlan914808@direct.umm.edu

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1306476171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-684-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277101544",
            "telephone_number": "919-684-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CETRONE",
        "first_name": "KELSEY",
        "middle_name": "GRIMM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.