Individual provider Active NPI

Kevin Steckline, RPA-C

  • Physician Assistant
  • Lexington, VA
National Provider Identifier
1841337201
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007104 Issued in VA
Practice address
55 Comfort Way Ste 1
Lexington, VA 24450-3788
Phone
(540) 463-3381
Fax
(540) 463-3477
NPI assigned
Feb 1, 2007
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110007104 VA Primary
Physician Assistant 363A00000X 001678 NY

Addresses

Primary practice location

55 Comfort Way Ste 1
Lexington, VA 24450-3788

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 463-3381

Other practice location 1

38A Classic St
Sherburne, NY 13460-9723
Phone (607) 674-4495

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200610000307 VA Practitioner - Physician Assistant 2769377258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1678NYMDAudiologist
0110007104VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PLLC Past Accepting new patients
Chenango Memorial Hospital, Inc. Physician Assistant Past Accepting new patients
Community Care Physicians, PC Physician Assistant PastSince Jan 1, 1998 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1841337201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-463-3381",
            "fax_number": "540-463-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COMFORT WAY STE 1",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244503788",
            "telephone_number": "540-463-3381",
            "fax_number": "540-463-3477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38A Classic St",
            "address_purpose": "LOCATION",
            "city": "Sherburne",
            "state": "NY",
            "postal_code": "134609723",
            "country_code": "US",
            "telephone_number": "607-674-4495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STECKLINE",
        "first_name": "KEVIN",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007104",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, VA

Sources for this page

Verify at the official NPI Registry.