Individual provider Active NPI

Kelsey R Woycik, PA

  • Physician Assistant
  • Culpeper, VA
National Provider Identifier
1962967711
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006588 Issued in VA
Practice address
541 Sunset LN Ste 103
Culpeper, VA 22701-3903
Phone
(540) 321-3002
Fax
(540) 829-0019
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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 0110006588 VA Primary

Addresses

Primary practice location

541 Sunset LN Ste 103
Culpeper, VA 22701-3903

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other identifiers 1

IdentifierTypeStateIssuer
1962967711MedicaidVA

Other names 1

  • Kelssey Rae Larson Former name

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
I20190416003106 VA Practitioner - Physician Assistant 3274874441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

633 Sunset LN
Suite F
Culpeper, VA 22701-3942
Phone (540) 829-4200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Mar 25, 2019 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jul 19, 2023 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jul 19, 2023 Accepting new patients
Uva Community Health Medical Group, LLC Past Accepting new patients

Locations

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

633 Sunset Ln
Ste A
Culpeper, VA 22701
Phone (540) 321-3002

541 Sunset Ln
Ste 103
Culpeper, VA 22701
Phone (540) 321-3002

Interoperability endpoints

  • Direct secure messaging: kwoycik412483@direct.healthsystem.virginia.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1962967711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SUNSET LN STE 103",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013903",
            "telephone_number": "540-321-3002",
            "fax_number": "540-829-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOYCIK",
        "first_name": "KELSEY",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962967711",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSSEY",
            "last_name": "LARSON",
            "middle_name": "RAE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.