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KELSEY MARIE SCHWARZ PA-C
NPI 1295448348
Physician Assistant in Raleigh, NC

Active since January 04, 2023PECOS EnrolledAccepts Medicare Assignment
5241 SIX FORKS RD STE 100, RALEIGH, NC 27609(919) 785-3400 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2025, Jan 4, 2023 (2 updates tracked since 2023).

About Kelsey Marie Schwarz Pa-c NPPES

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

KELSEY MARIE SCHWARZ PA-C (NPI 1295448348) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-13576) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295448348
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY MARIE SCHWARZCredential: PA-C
Location Address5241 SIX FORKS RD STE 100Raleigh, NC 27609-4431
Mailing AddressPo Box 52411Phoenix, AZ 85072-2411 · (919) 785-3400 · Fax (919) 783-7778
Phone(919) 785-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 4, 2023
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1295448348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-13576
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.
5241 SIX FORKS RD STE 100, Raleigh, NC 27609
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Kelsey Marie Schwarz 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 ID4284081266
PECOS Enrollment IDI20231113002876
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services42 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services41 patients

Hospital Affiliations CMS Care Compare 3

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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 4

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

JENNIFER RICH PA
Physician Assistant (Surgical)
5241 SIX FORKS RD STE 100
RALEIGH, NC 27609
Wake County (919) 785-3400
TIFFANI ANN HOEFER PA
Physician Assistant
5241 SIX FORKS RD STE 100
RALEIGH, NC 27609
Wake County (919) 785-3400
ELIZABETH BROOKE JOHNSON SMITH PA-C
Physician Assistant
5241 SIX FORKS RD STE 100
RALEIGH, NC 27609
Wake County (919) 785-3400
DR. CHRISTOPHER TERRY MD
Anesthesiology
5241 SIX FORKS RD STE 100
RALEIGH, NC 27609
Wake County (919) 785-3400

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 Kelsey Schwarz's NPI number?

The NPI number for Kelsey Schwarz is 1295448348. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Where is Kelsey Schwarz located?

Kelsey Schwarz practices at 5241 Six Forks Rd Ste 100, Raleigh, NC 27609. The listed phone number is (919) 785-3400.

What is Kelsey Schwarz's specialty?

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

Is Kelsey Schwarz enrolled in Medicare?

Yes. Kelsey Schwarz 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 Kelsey Schwarz accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kelsey Schwarz 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 Kelsey Schwarz affiliated with any hospitals?

According to CMS data, Kelsey Schwarz is affiliated with Wakemed, Raleigh Campus, Rex Hospital and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Schwarz was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.