Kacy Lester
Individual provider Active NPI Family Medicine Physician · Camden, OH
NPI 1720712136 · NPPES record last updated Jul 12, 2022
Key facts
- NPI
- 1720712136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- APRN.CNP.0031770 (OH)
- Practice address
- 79 W Central Ave
Camden, OH 45311-1007 - Phone
- (937) 452-1201
- NPI assigned
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Moses Cone Medical Services Inc
Practice addresses (Care Compare)
1409 University Dr
Suite 105
Burlington, NC 27215-8787
Phone (336) 584-5659
Hospital & facility affiliations
- Amedisys Home Health
- Alamance Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20231106001173 | NC | Practitioner - Nurse Practitioner | 7517314032 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0031770 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Medical Services, Inc. | Family Medicine | Current |
Accepting new patients |
| Moses Cone Medical Services, Inc. | Family Medicine | Current |
Accepting new patients |
Locations
1409 University Dr
Ste 105
Burlington, NC 27215
Phone (336) 584-5659
1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700
940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | APRN.CNP.0031770 | OH | Yes |
Addresses
Primary practice location
79 W Central Ave
Camden, OH 45311-1007
Mailing address
843 Dufour LN
Oxford, OH 45056-8514
Other providers in Camden, OH
- Sarah Klasmeier
- Ashley Danielle Lamb
- Connie L Lambert
- Jessica Ann Lay
- John Willard Lay Jr.
- McCullough Hyde Memorial Hospital Inc
- McCullough-Hyde Memorial Hospital Incorporated
- Medship LLC
- Shaun Joseph Mienko
- Maggie Moore
All providers in Camden, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2022. 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.