Active NPI
Kendalyn Hersh Felts, PA-C
- Physician Assistant
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110008133
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0110008133 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Bayview Physician Services, PC | Current | 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
- 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.
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2022; 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.