Individual provider Active NPI

Kelcey Victoria Meier, PA-C

  • Physician Assistant
  • Lincolnton, NC
National Provider Identifier
1750898607
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1142273 Issued in NC
Practice address
1531 N Aspen St
Lincolnton, NC 28092-7268
Phone
(704) 732-8736
NPI assigned
Jan 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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 1142273 NC Primary

Addresses

Primary practice location

1531 N Aspen St
Lincolnton, NC 28092-7268

Mailing address

811 Parkwood Rd
Shelby, NC 28150-5534

Other names 1

  • Kelcey Victoria Connolly Former name

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
I20180416002589 NC Practitioner - Physician Assistant 2567725088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Family Medicine, P.a.Group PAC ID 8628027166, 11 clinicians

Practice addresses (Care Compare)

1422 E Millbrook Rd
Raleigh, NC 27609-5179
Phone (919) 878-8596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1142273NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Raleigh Ophthalmology, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kelcey.meier@caf.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1750898607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 PARKWOOD RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 N ASPEN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280927268",
            "telephone_number": "704-732-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIER",
        "first_name": "KELCEY",
        "middle_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-01",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "1142273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELCEY",
            "last_name": "CONNOLLY",
            "middle_name": "VICTORIA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincolnton, NC

Sources for this page

Verify at the official NPI Registry.