MS. KACIE MILLER TEETER PA-C
NPI 1063567626
Physician Assistant - Medical in Statesville, NC

Q: What is Kacie Teeter's NPI number?

The NPI number for Kacie Teeter is 1063567626. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Kacie Teeter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kacie Teeter was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment

310 DAVIE AVE, STATESVILLE FAMILY PRACTICE, STATESVILLE, NC 28677(704) 873-3269(704) 871-8159 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Kacie Miller Teeter Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KACIE MILLER TEETER PA-C (NPI 1063567626) is an individual medical provider in Statesville, North Carolina, licensed in North Carolina (001000789) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1063567626

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. KACIE MILLER TEETERCredential: PA-C

Location Address310 DAVIE AVE, STATESVILLE FAMILY PRACTICEStatesville, NC 28677-5319

Mailing AddressPo Box 896199 Statesville Family PracticeCharlotte, NC 28289-5319 · (833) 936-1364 · Fax (605) 942-7505

Phone(704) 873-3269

Fax(704) 871-8159

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJanuary 24, 2007

Last NPPES UpdateMarch 9, 2021

NPPES CertifiedMarch 9, 2021

✔ NPI 1063567626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NC · 001000789

310 DAVIE AVE, Statesville, NC 28677

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kacie Miller Teeter Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638223696

PECOS Enrollment IDI20090811000337

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

203 services121 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

90 services72 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

24 services24 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

19 services19 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

18 services18 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

17 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340039

Location557 Brookdale DrStatesville, NC 28677 · Iredell County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers17 claims41 services$4.13 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$69.20 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$30.89 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier15 claims15 services$7.62 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IREDELL PHYSICIAN NETWORK LLC

Family Medicine

310 DAVIE AVE
STATESVILLE, NC 28677

Iredell County (704) 873-3269

JOSEPH C. MAZZOLA D.O.

Family Medicine

310 DAVIE AVE
STATESVILLE, NC 28677

Iredell County (704) 873-3269

DR. RACHEL BETH DISANTO M.D.

Family Medicine

310 DAVIE AVE
STATESVILLE, NC 28677

Iredell County (704) 873-3269

DAVID WAYNE CASH MD

Family Medicine

310 DAVIE AVE
STATESVILLE, NC 28677

Iredell County (704) 873-3269

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kacie Teeter's NPI number?

The NPI number for Kacie Teeter is 1063567626. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Kacie Teeter located?

Kacie Teeter practices at 310 Davie Ave Statesville Family Practice, Statesville, NC 28677. The listed phone number is (704) 873-3269.

What is Kacie Teeter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kacie Teeter enrolled in Medicare?

Yes. Kacie Teeter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kacie Teeter accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Kacie Teeter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kacie Teeter affiliated with any hospitals?

According to CMS data, Kacie Teeter is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Kacie Teeter was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.