Kristen Ann Aleccia, PA-C
Individual provider Active NPI Physician Assistant · Charlotte, NC
NPI 1306578620 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1306578620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 10660 Park Rd Ste 3100
Charlotte, NC 28210-8420 - Phone
- (704) 863-4878
- NPI assigned
- Jun 27, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carolinas Physicians Network Inc
Practice addresses (Care Compare)
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000
10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-7070
10660 Park Rd
Suite 3100
Charlotte, NC 28210-8420
Phone (704) 667-8750
11530 Providence Rd
Charlotte, NC 28277-2691
14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373
3030 Randolph Rd
Charlotte, NC 28211-1365
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
- Atrium Health Pineville
- Carolinas Rehabilitation
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.67
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.01 of 100
- Quality
- 80.14
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.15 of 100
- Quality
- 81.36
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, SC
- 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 |
|---|---|---|---|---|
| I20230310002079 | NC | Practitioner - Physician Assistant | 9638542707 | Reassigns benefits to 7 organizations |
| I20250709004362 | SC | Practitioner - Physician Assistant | 9638542707 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5683 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Ballantyne Emergency Physicians PLLC | Current |
Accepting new patients | |
| Wake Forest Emergency Providers | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current |
Accepting new patients |
Locations
301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
11516 Providence Rd
Charlotte, NC 28277
Phone (704) 667-0370
16035 Johnston Rd
Charlotte, NC 28277
Phone (704) 542-5132
10660 Park Rd
Ste 3100
Charlotte, NC 28210
Phone (704) 667-8750
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
920 Church St N
Concord, NC 28025
Phone (704) 403-3000
270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060
1000 Healing Way
Matthews, NC 28104
Phone (800) 821-1535
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131
2700 S Providence Rd
Waxhaw, NC 28173
Phone (704) 243-2254
704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- kaleccia549099@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NC | Yes |
Addresses
Primary practice location
10660 Park Rd Ste 3100
Charlotte, NC 28210-8420
Mailing address
10660 Park Rd Ste 3100
Charlotte, NC 28210-8420
Other providers in Charlotte, NC
- Ginger Aldridge
- Lorie Ann Aldridge
- Rachel Allison Aldridge
- Rita Smith Aldridge
- Sara Aldridge
- Jorge Robinson Alegria Bobadilla
- Maha Aleizzi
- Rina Aleksandrov
- Hebron Alemu
- Edward S Alessandrini
All providers in Charlotte, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. 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.