Kelly Bailey Kruse, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

496 Issued in SC

Practice address

2093 Henry Tecklenburg Dr Ste 200
Charleston, SC 29414-5742

Phone

(843) 958-2500

NPI assigned

Jul 12, 2006

Last updated

Apr 25, 2025By the provider in NPPES

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

Other identifiers 3

Other names 1

• Mrs. Kelly L. Bailey Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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

University of Virginia School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roper Saint Francis Physicians NetworkGroup PAC ID 5193874824, 530 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roper Hospital Hospital, Charleston, SC, CCN 420087
• Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
• Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
• Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.kruse@rsfpp.eclinicaldirectplus.com
• Direct secure messaging: kkruse1236465@direct.bsmhealth.org

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.

• Roper Saint Francis Physicians Network

  dba Roper St. Francis Physician Partners General Surgery

  • Surgery Physician
  • Charleston, SC
  • NPI 1124431606
  Medicare reassignment Care Compare group
• Roper St. Francis Specialty Physicians

  dba Roper St. Francis Physician Partners Bariatric Surgery

  • Surgery Physician
  • Ladson, SC
  • NPI 1528945912
  Medicare reassignment NPD
• Roper Hospital, Inc.

  dba The Ryan White Wellness Center

  • Infectious Disease Physician
  • Charleston, SC
  • NPI 1104150739
  Medicare reassignment
• Roper Hospital Inc.

  dba Vascular Medicine and Wound Management Clinic

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • N Charleston, SC
  • NPI 1104563758
  NPD
• Roper Saint Francis Physicians Network

  dba Roper St. Francis Physician Partners Primary Care

  • Internal Medicine Physician
  • N Charleston, SC
  • NPI 1750522199
  NPD
• Roper Saint Francis Physicians Network

  dba Roper St. Francis Physician Partners Charleston OB/GYN

  • Obstetrics & Gynecology Physician
  • Charleston, SC
  • NPI 1811857352
  NPD
• Orthopaedic Specialists of Charleston

  • Orthopaedic Foot and Ankle Surgery Physician
  • Charleston, SC
  • NPI 1679596548
  NPD (past)
• Roper Saint Francis Physicians Network

  dba Roper St.Francis Physician Partners Primary Care

  • Family Medicine Physician
  • Johns Island, SC
  • NPI 1912148693
  NPD (past)

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

• Bon Secours St. Francis Xavier Hospital Inc.

  dba Roper St. Francis Intensivist Services

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1851361778
  Care Compare affiliation
• Roper Hospital, Inc

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1962472860
  Care Compare affiliation
• Roper St Francis Hospital-Berkeley Inc.

  dba Roper St. Francis Intensivist Services

  • General Acute Care Hospital
  • Summerville, SC
  • NPI 1336603646
  Care Compare affiliation
• Roper St. Francis Mount Pleasant Hospital

  dba Mount Pleasant Hospital

  • General Acute Care Hospital
  • Mount Pleasant, SC
  • NPI 1255645644
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1942235247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 HENRY TECKLENBURG DR STE 200",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145742",
            "telephone_number": "843-958-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "KELLY",
        "middle_name": "BAILEY",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID-RSFPP",
            "identifier": "P00727284",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655PA",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "P00615390",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kelly.Kruse@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "2093 Henry Tecklenburg Dr",
            "address_2": "Suite 200",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294145741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BAILEY",
            "middle_name": "L.",
            "prefix": "MRS.",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emma Kate Kroske
• Jeremiah Kroup, LCSW
• Hannah Jean Krueger
• Colin Kruger, MD
• Danielle Krukowski
• Diann M. Krywko, M.D.
• Marc A Krzystek, DMS PA-C
• Balemba Kubuanu, PTA
• Melissa Whitson Kucsera, P.A.-C
• Carrie Slye Kuendel, DPT

• Surgical Physician Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Surgical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.