KAELYN NICOLE SEXTON CNM
NPI 1164066775
Advanced Practice Midwife in Gastonia, NC

Q: What is Kaelyn Sexton's NPI number?

The NPI number for Kaelyn Sexton is 1164066775. It was assigned to this individual provider in the NPPES registry on November 6, 2019.

Q: What is Kaelyn Sexton's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaelyn Sexton was last updated on March 14, 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.

Active since November 06, 2019PECOS EnrolledAccepts Medicare Assignment

80.07/100

CMS Quality Rating

2525 COURT DR, GASTONIA, NC 28054(704) 834-2000(704) 834-2500 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2022, Nov 4, 2021, Nov 6, 2019 (3 updates tracked since 2019).

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About Kaelyn Nicole Sexton Cnm NPPES

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

KAELYN NICOLE SEXTON CNM (NPI 1164066775) is an individual advanced practice midwife in Gastonia, North Carolina, licensed in North Carolina (745) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164066775

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameKAELYN NICOLE SEXTONCredential: CNM

Location Address2525 COURT DRGastonia, NC 28054-2140

Mailing Address2525 Court DrGastonia, NC 28054-2140 · (704) 834-2000 · Fax (704) 834-2500

Phone(704) 834-2000

Fax(704) 834-2500

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 6, 2019

Last NPPES UpdateMarch 14, 20243 updates tracked since enumeration

NPPES CertifiedJune 21, 2023

✔ NPI 1164066775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

Licenses✔ Licensed in NC · 745✔ Licensed in SC · 25463

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

2525 COURT DR, Gastonia, NC 28054

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Secondary Practice Locations 2

Location 1991 W Hudson BlvdGastonia, NC 28052-6430 · Phone (980) 834-7350 · Fax (980) 834-9894

Location 2101 E Wood StSpartanburg, SC 29303-3040 · Phone (864) 560-6000

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

Kaelyn Nicole Sexton Cnm 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 ID648604256

PECOS Enrollment IDI20240410000496

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 28054 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.44

Promoting Interoperability

Improvement Activities

Cost

50.98

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.

DR. IAN OLUREMILEKUN COLE M.D.

Emergency Medicine