Individual provider Active NPI

Kendalyn Hersh Felts, PA-C

  • Physician Assistant
  • Suffolk, VA
National Provider Identifier
1902476567
Registry record updated Dec 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008133 Issued in VA
Practice address
3060 Godwin Blvd
Suffolk, VA 23434-8274
Phone
(757) 935-5310
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2022

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 0110008133 VA Primary

Addresses

Primary practice location

3060 Godwin Blvd
Suffolk, VA 23434-8274

Mailing address

3060 Godwin Blvd
Suffolk, VA 23434-8274
Phone (757) 935-5310

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
I20211015002662 VA Practitioner - Physician Assistant 7719385020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Practice addresses (Care Compare)

111 Mill Creek Pkwy
Suite 300
Chesapeake, VA 23323-1098
Phone (757) 558-8210

2000 Meade Pkwy
Suffolk, VA 23434-4259
Phone (757) 934-9395

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110008133VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Oct 5, 2021 Accepting new patients
Bayview Physician Services, PC CurrentSince Oct 5, 2021 Accepting new patients

Locations

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

1024 Battlefield Blvd S
Chesapeake, VA 23322
Phone (757) 410-4488

612 Kingsborough Sq
Ste 200
Chesapeake, VA 23320
Phone (757) 436-0167

725 Volvo Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 548-0076

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

675 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 436-7888

1301 Armory Dr
Ste 220
Franklin, VA 23851
Phone (757) 562-0085

2000 Meade Pkwy
Ste 190
Suffolk, VA 23434

4868 Bridge Rd
Ste 300
Suffolk, VA 23435
Phone (757) 483-7100

3060 Godwin Blvd
Suffolk, VA 23434
Phone (757) 923-9660

2088 S Independence Blvd
Ste 103
Virginia Beach, VA 23453
Phone (757) 275-9331

1168 First Colonial Rd
Ste 201
Virginia Beach, VA 23454
Phone (757) 481-1113

1168 First Colonial Rd
Ste 100
Virginia Beach, VA 23454
Phone (757) 352-2020

Interoperability endpoints

  • Direct secure messaging: kendalyn.hersh@bayview.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670716800000",
    "number": "1902476567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348274",
            "telephone_number": "757-935-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348274",
            "telephone_number": "757-935-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTS",
        "first_name": "KENDALYN",
        "middle_name": "HERSH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-12-11",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.