KELLY STEVENS PA
NPI 1104811959
Physician Assistant in Greensboro, NC

Active since September 19, 2005PECOS Enrolled
2635 LAWNDALE DR, GREENSBORO, NC 27408(336) 867-4310 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2024, Jun 20, 2024 (2 updates tracked since 2024).

About Kelly Stevens Pa NPPES

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

KELLY STEVENS PA (NPI 1104811959) is an individual physician assistant in Greensboro, North Carolina, licensed in North Carolina (0010-11495) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1104811959
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY STEVENSCredential: PA
Location Address2635 LAWNDALE DRGreensboro, NC 27408-4802
Mailing AddressPo Box 601843Charlotte, NC 28260-1843 · (406) 322-1000 · Fax (406) 322-5207
Sole ProprietorNo
Enumeration DateSeptember 19, 2005
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1104811959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NC · 0010-11495 Licensed in VT · 055.0031677 Licensed in MT · 41208
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA3513 (FL)
2635 LAWNDALE DR, Greensboro, NC 27408

Other Names 1

Former Name (1)Kelly Stevens-pico Pa

Secondary Practice Location 1

Location 1710 11th St NColumbus, MT 59019-7215 · Phone (406) 322-1000 · Fax (406) 322-5207

Other Identifiers 1

Medicaid291575800FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Stevens Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27408 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Urgent Care)
2635 LAWNDALE DR
GREENSBORO, NC 27408
Physician Assistant
2635 LAWNDALE DR
GREENSBORO, NC 27408
Nurse Practitioner
2635 LAWNDALE DR
GREENSBORO, NC 27408
Physician Assistant
2635 LAWNDALE DR
GREENSBORO, NC 27408
Physician Assistant
2635 LAWNDALE DR
GREENSBORO, NC 27408

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 Kelly Stevens's NPI number?

The NPI number for Kelly Stevens is 1104811959. It was assigned to this individual provider in the NPPES registry on September 19, 2005. The provider is also known as Kelly Stevens-Pico PA.

Where is Kelly Stevens located?

Kelly Stevens practices at 2635 Lawndale Dr, Greensboro, NC 27408. The listed phone number is (336) 867-4310.

What is Kelly Stevens's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Stevens enrolled in Medicare?

Yes. Kelly Stevens is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Stevens accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Oscar Insurance Company and Providence Health Plan list Kelly Stevens 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.

When was this NPI record last updated?

The NPPES record for Kelly Stevens was last updated on December 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.