Kelly Fischer Celek, PA-C

Key facts

NPI

1780114710

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

2770 (SC)

Practice address

316 Calhoun Street
Charleston, SC 29401-1113

Phone

(843) 724-2010

Fax

(843) 724-2005

NPI assigned

Jun 13, 2017

Sex

Female

Sole proprietor

No

Organizations & group practices 10

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.

• University Medical Associates of the Medical University of South Carol Multi-Specialty Clinic/Center · Charleston, SC · NPI 1043241110
  Medicare reassignment Care Compare group NPD SC
• Bon Secours St Francis Xavier Hospital, Inc. Emergency Medicine Physician · Charleston, SC · NPI 1770867442
  Medicare reassignment NPD SC
• University Medical Associates of the Medical University of South Carol Family Medicine Physician · Charleston, SC · NPI 1982678496
  Care Compare group NPD PHYSICIAN ASSISTANT
• Roper Hospital Inc Emergency Medicine Physician · Moncks Corner, SC · NPI 1104983055
  Medicare reassignment SC
• Roper St. Francis Mount Pleasant Hospital Cardiovascular Disease Physician · Mt Pleasant, SC · NPI 1629499298
  Medicare reassignment SC
• Bon Secours St. Francis Xavier Hospital, Inc. Pediatrics Physician · Charleston, SC · NPI 1982583068
  NPD
• Roper Hospital Inc Emergency Medicine Physician · North Charleston, SC · NPI 1700943644
  NPD
• Roper Hospital Inc. Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · N. Charleston, SC · NPI 1104563758
  NPD
• Roper St. Francis Mount Pleasant Hospital Cardiovascular Disease Physician · Mt Pleasant, SC · NPI 1487337333
  NPD
• Roper St. Francis Mount Pleasant Hospital Critical Care Medicine (Internal Medicine) Physician · Mt Pleasant, SC · NPI 1578362232
  NPD

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medical University Hospital Authority General Acute Care Hospital · Charleston, SC · NPI 1073605879
  Care Compare affiliation Hospital
• Medical University Hospital Authority Rehabilitation Hospital · Orangeburg, SC · NPI 1154020147
  Care Compare affiliation Hospital
• Medical University Hospital Authority General Acute Care Hospital · Charleston, SC · NPI 1659435840
  Care Compare affiliation Hospital
• Medical University Hospital Authority Psychiatric Hospital · Orangeburg, SC · NPI 1669171740
  Care Compare affiliation Hospital
• Medical University Hospital Authority General Acute Care Hospital · Orangeburg, SC · NPI 1710683354
  Care Compare affiliation Hospital
• Medical University Hospital Authority General Acute Care Hospital · Orangeburg, SC · NPI 1770280299
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Medical Associates of the Medical University of South Carol (1,634 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Musc Medical Center Hospital · Charleston, SC · CCN 420004

Merit-based Incentive Payment System (MIPS)

Final score

79.02 of 100 (group)

Quality

62.41

Promoting interoperability

99

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcelek382981@direct.musc.edu

Specialties & licenses

Addresses

Other identifiers

Other names

• Ms. Kelly Lynn Fischer Former name

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 4, 2022.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1780114710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CALHOUN STREET",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011113",
            "telephone_number": "843-724-2010",
            "fax_number": "843-724-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294251113",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 Medical Plaza Drive",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "29406",
            "country_code": "US",
            "telephone_number": "843-764-1730",
            "fax_number": "843-764-1731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELEK",
        "first_name": "KELLY",
        "middle_name": "FISCHER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071PA",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "171 Ashley Ave",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294251113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FISCHER",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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