Active NPI
Aimee Buck Kerchner, PA-C
- Physician Assistant
- Charlotte, NC
National Provider Identifier
1669459459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-00303
- Practice address
- 1901 Randolph Rd
Charlotte, NC 28207-1101 - Phone
- (704) 384-5420
- Fax
- (704) 384-5424
- NPI assigned
- Dec 22, 2005
- Last updated
- Oct 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 102969 | NC | |
| Physician Assistant | 363A00000X | 0010-00303 | NC | Primary |
Addresses
Primary practice location
1901 Randolph Rd
Charlotte, NC 28207-1101
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-5420
Other names 1
- Miss Aimee Olivia Buck
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akerchner43964@direct.novanthealth.org |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060201000382 | NC | Practitioner - Physician Assistant | 1850305681 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-00303 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jemsek Clinic PA | Past | Accepting new patients |
Interoperability endpoints
- akerchner43964@direct.novanthealth.org
Organizations & group practices 1
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": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1669459459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-5420",
"fax_number": "704-384-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071101",
"telephone_number": "704-384-5420",
"fax_number": "704-384-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERCHNER",
"first_name": "AIMEE",
"middle_name": "BUCK",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2020-10-28",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "102969",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-00303",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akerchner43964@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1901 Randolph Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282071101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AIMEE",
"last_name": "BUCK",
"middle_name": "OLIVIA",
"prefix": "MISS",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.