Individual provider Active NPI

Kayla Jester Belson, PA-C

  • Physician Assistant
  • Newark, DE
National Provider Identifier
1841654795
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058185 Issued in PA
Practice address
4755 Ogletown Stanton Rd
Newark, DE 19718-1000
Phone
(302) 733-1000
NPI assigned
Apr 7, 2016
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 MA058185 PA Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd
Newark, DE 19718-1000

Mailing address

4755 Ogletown Stanton Rd
Newark, DE 19718-1000
Phone (302) 733-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160510001880 PA Practitioner - Physician Assistant 3870882129 Reassigns benefits to 2 organizations
I20180202001302 DE Practitioner - Physician Assistant 3870882129 Reassigns benefits to 1 organization
I20191112000956 MD Practitioner - Physician Assistant 3870882129 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA058185PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince May 9, 2016 Accepting new patients
St Luke's Physician Group Inc CurrentSince May 9, 2016 Accepting new patients
Christiana Care Emergency Physicians LLC Physician Assistant CurrentSince Jan 1, 2024 Accepting new patients
Union Hospital of Cecil County Health Services, Inc CurrentSince Nov 1, 2019 Accepting new patients

Locations

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

123 Singerly Ave
Elkton, MD 21921
Phone (410) 392-2686

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 8

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1841654795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197181000",
            "telephone_number": "302-733-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197181000",
            "telephone_number": "302-733-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELSON",
        "first_name": "KAYLA",
        "middle_name": "JESTER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.