JELENA MCKEITHAN
NPI 1245985092
Nurse Practitioner - Family in Davidson, NC
About Jelena Mckeithan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JELENA MCKEITHAN (NPI 1245985092) is an individual family provider in Davidson, North Carolina, licensed in North Carolina (5015978) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Jelena Mckeithan 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 Reassignment
Medicare enrollment records show Jelena Mckeithan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mooresville, NC 28115
- Reassigned Medicare billing, North Carolina enrollment
- 8 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28036 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jelena Mckeithan's NPI number?
The NPI number for Jelena Mckeithan is 1245985092. It was assigned to this individual provider in the NPPES registry on February 18, 2022.
Where is Jelena Mckeithan located?
Jelena Mckeithan practices at 127 S Main St, Davidson, NC 28036. The listed phone number is (704) 892-7211.
What is Jelena Mckeithan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jelena Mckeithan enrolled in Medicare?
Yes. Jelena Mckeithan 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 organization bills Medicare for Jelena Mckeithan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jelena Mckeithan reassigns Medicare benefits to Southern Family Medicine, Inc. (Mooresville, NC). The 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 Jelena Mckeithan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jelena Mckeithan accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Jelena Mckeithan 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 Jelena Mckeithan was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jelena Mckeithan · NPI 1245985092
Family physician in Davidson, North Carolina. Individual provider, active in the CMS NPPES registry since February 18, 2022.
## Identity
- **NPI:** 1245985092 (Entity type: Individual)
- **Enumerated:** February 18, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5015978 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 127 S MAIN ST, Davidson, NC 28036-8096
- **Phone:** (704) 892-7211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern Family Medicine, Inc. (NPI 1881144590, Mooresville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1245985092) · Data from the CMS NPPES public registry.