KELLIE SHAY CAUDLE
NPI 1134565526
Nurse Anesthetist, Certified Registered in Hickory, NC
About Kellie Shay Caudle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE SHAY CAUDLE (NPI 1134565526) is an individual nurse anesthetist, certified registered in Hickory, North Carolina, licensed in North Carolina (092878) and active in the NPI registry since May 2013. She is affiliated with Iredell Memorial Hospital Inc and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kellie Shay Caudle 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kellie Caudle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hickory, NC 28602
- Reassigned Medicare billing, North Carolina enrollment
- 67 clinicians in this Medicare group
Hickory, NC 28601
- Reassigned Medicare billing, North Carolina enrollment
- 116 clinicians in this Medicare group
Statesville, NC 28677
- Reassigned Medicare billing, North Carolina enrollment
- 51 clinicians in this Medicare group
Lexington, NC 27295
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Iredell Memorial Hospital Inc
Acute Care Hospitals · Statesville, NCHugh Chatham Memorial Hospital
Acute Care Hospitals · Elkin, NCCatawba Valley Medical Center
Acute Care Hospitals · Hickory, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HICKORY, NC 28602
HICKORY, NC 28602
HICKORY, NC 28602
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 Kellie Caudle's NPI number?
The NPI number for Kellie Caudle is 1134565526. It was assigned to this individual provider in the NPPES registry on May 13, 2013.
Where is Kellie Caudle located?
Kellie Caudle practices at 810 Fairgrove Church Rd, Hickory, NC 28602. The listed phone number is (828) 326-3000.
What is Kellie Caudle's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kellie Caudle enrolled in Medicare?
Yes. Kellie Caudle 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.
Which organizations bill Medicare for Kellie Caudle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Caudle reassigns Medicare benefits to 4 organizations: Catawba Valley Medical Center (Hickory, NC), Iredell Physician Network (Hickory, NC), Iredell Memorial Hospital, Incorporated (Statesville, NC) and Wake Forest University Health Sciences (Lexington, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kellie Caudle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kellie Caudle affiliated with any hospitals?
According to CMS data, Kellie Caudle is affiliated with Iredell Memorial Hospital Inc, Hugh Chatham Memorial Hospital and Catawba Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Kellie Caudle was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kellie Shay Caudle · NPI 1134565526
Nurse Anesthetist, Certified Registered physician in Hickory, North Carolina. Individual provider, active in the CMS NPPES registry since May 13, 2013.
## Identity
- **NPI:** 1134565526 (Entity type: Individual)
- **Enumerated:** May 13, 2013
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 092878 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 810 FAIRGROVE CHURCH RD, Hickory, NC 28602-9617
- **Phone:** (828) 326-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Catawba Valley Medical Center (NPI 1164495255, Hickory, NC); Iredell Physician Network (NPI 1023402732, Hickory, NC); Iredell Memorial Hospital, Incorporated (NPI 1548230204, Statesville, NC); Wake Forest University Health Sciences (NPI 1639454499, Lexington, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1134565526) · Data from the CMS NPPES public registry.