Kalee D. Capps, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3513 Issued in KY

Practice address

210 Black Gold Blvd
Hazard, KY 41701-2620

Phone

(606) 436-0711

NPI assigned

Nov 8, 2024

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: kalee.capps.p1@direct.kymha.nextgenshare.com

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.

• Kentucky Mountain Health Alliance, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hazard, KY
  • NPI 1407043979
  Medicare reassignment

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1376367128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BLACK GOLD BLVD STE 106",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012620",
            "telephone_number": "606-436-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BLACK GOLD BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012620",
            "telephone_number": "606-436-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPS",
        "first_name": "KALEE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsi Shannon Campbell, APRN
• Linda Sharon Campbell, R.D., L.D.
• Logan Edward Campbell, PHARMD
• Mary E. Campbell, DMD
• Rebecca Campbell
• Emily Paige Carico, DO
• Brandi Carmical, APRN
• Andrea Carter
• Christopher Case, PHARMD
• Baretta R Casey, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.