Kalie Nicole Flack, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.008418RX Issued in OH

Practice address

5031 Forest Dr Ste C
New Albany, OH 43054-7088

Phone

(614) 647-2526

Fax

(877) 409-2415

NPI assigned

Jul 18, 2023

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 OH

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJGGCD

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.

• Pain Zero, LLC

  • Interventional Pain Medicine Physician
  • New Albany, OH
  • NPI 1912652603
  Medicare reassignment NPD
• Ohio Emergency Care Services, Inc

  • Emergency Medicine Physician
  • Delaware, OH
  • NPI 1184028524
  Medicare reassignment
• Ohio Emergency Professionals Inc

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1982983425
  Medicare reassignment

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1427738152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 738247",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753738247",
            "telephone_number": "614-647-2526",
            "fax_number": "877-409-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 FOREST DR STE C",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547088",
            "telephone_number": "614-647-2526",
            "fax_number": "877-409-2415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Alkyre Run Ste 340",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430826911",
            "country_code": "US",
            "telephone_number": "614-647-2526",
            "fax_number": "877-409-2415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4207 Gantz Rd",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431232993",
            "country_code": "US",
            "telephone_number": "614-647-2526",
            "fax_number": "877-409-2415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4643 Leap Court,Hilliard,OH,43026",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430261234",
            "country_code": "US",
            "telephone_number": "614-647-2526",
            "fax_number": "877-409-2415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLACK",
        "first_name": "KALIE",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008418RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Designs New Albany, Inc
• Andrea Figueroa, PT
• Emily Finn, DPT
• Cynthia D. Fisher, C.R.N.A.
• Robert Tyler Fisher, CRNA
• Nancy Flaherty
• Flourish Home Care Partners LLC
• Taylor Fortson
• Joshua Fothergill, D.C.
• Kelsey Fox, P.T., D.P.T.

• Physician Assistant in New Albany, OH
• Providers in New Albany, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.