Individual provider Active NPI

Koehler Elizabeth Waldrop, PA-C

  • Physician Assistant
  • New Bern, NC
National Provider Identifier
1497333603
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1403 McCarthy Blvd
New Bern, NC 28562-2049
Phone
(252) 637-0368
NPI assigned
Mar 30, 2021
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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 Primary

Addresses

Primary practice location

1403 McCarthy Blvd
New Bern, NC 28562-2049

Mailing address

1403 McCarthy Blvd
New Bern, NC 28562-2049
Phone (252) 637-0368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20210513001908 NC Practitioner - Physician Assistant 3779992276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians

Practice addresses (Care Compare)

1000 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278

1020 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 514-6685

1030 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278

1040 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 638-2273

1403 McCarthy Blvd
New Bern, NC 28562-2049
Phone (252) 637-0368

3252 Wellons Blvd
New Bern, NC 28562-5234
Phone (252) 637-0368

900 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 639-5959

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Health Care PA Current Accepting new patients
Coastal Carolina Health Care PA CurrentSince Oct 8, 2023 Accepting new patients

Locations

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

1403 McCarthy Blvd
New Bern, NC 28562
Phone (252) 633-4461

3252 Wellons Blvd
New Bern, NC 28562
Phone (252) 636-2664

Interoperability endpoints

  • Direct secure messaging: kwaldrop27048@coastalcarolinahealthcenter.gardenplot.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1497333603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622049",
            "telephone_number": "252-637-0368",
            "fax_number": "910-938-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622049",
            "telephone_number": "252-637-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDROP",
        "first_name": "KOEHLER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.