Kelsie Nicole Teune, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-10693 Issued in NC

Practice address

280 Executive Park Dr
Concord, NC 28025-1837

Phone

(704) 237-4240

Fax

(704) 547-3150

NPI assigned

Oct 30, 2020

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 NH

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Savida Health PCGroup PAC ID 4082809967, 89 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

35.98 of 100Reported as group

Quality

0

Promoting interoperability

0

Improvement activities

20

Cost

78.28

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kelsie.teune.1@24804.direct.athenahealth.com

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.

• Savida Health, PC

  • Addiction Medicine (Internal Medicine) Physician
  • Gilford, NH
  • NPI 1285388546
  Medicare reassignment Care Compare group
• Prescription Urgent Care, PA

  • Urgent Care Clinic/Center
  • Raleigh, NC
  • NPI 1871570929
  NPD (past)
• Savida Health, PC

  • Addiction Medicine (Internal Medicine) Physician
  • W Springfield, MA
  • NPI 1316253875
  NPD (past)

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1770183451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251838",
            "telephone_number": "704-237-4240",
            "fax_number": "704-547-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 EXECUTIVE PARK DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251837",
            "telephone_number": "704-237-4240",
            "fax_number": "704-547-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEUNE",
        "first_name": "KELSIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-10693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Telemaque, RN
• Tenway Express
• Jon C Ter Poorten, MD
• Maryanna C Ter Poorten, MD
• Deborah Kay Terzis, FNP
• Nehal P. Thakkar, MD
• Siddarth Thakur, MD
• Der Thao
• The 4C Company of NC, LLC
• The 4C Company of NC, LLC

• Medical Physician Assistant in Concord, NC
• Providers in Concord, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.