Kelsey Elizabeth Wolford, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2617 Sheffield Dr
Blacksburg, VA 24060-8271

Phone

(540) 953-2210

NPI assigned

Oct 29, 2019

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 VA

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New River Dermatology PLCGroup PAC ID 7416936570, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wythe County Community Hospital Hospital, Wytheville, VA, CCN 490111

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• New River Dermatology PLC

  • Dermatology Physician
  • Blacksburg, VA
  • NPI 1467534248
  Medicare reassignment Care Compare group

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

• Wythe County Community Hospital LLC

  • Rural Acute Care Hospital
  • Wytheville, VA
  • NPI 1184706152
  Care Compare affiliation

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1780228262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 IRVIN ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821217",
            "telephone_number": "276-239-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 SHEFFIELD DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240608271",
            "telephone_number": "540-953-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFORD",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Winebarger
• Joseph Winesett, LPTA
• Cindie Ellen Lambert Wolfe, MT-BC
• Samuel Lee Wolfe, DDS
• Haley Patterson Wolford
• Larissa Womack, LPC
• Heather Noelle Woods, BSN, RN, IBCLC
• Lauren Woods, NP
• David Woodson, D.O.
• Brittni Woolwine, RD, LMT

• Physician Assistant in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.