KELLIE DEANNE TATRO PA-C, RRA, RT(R)
NPI 1366905705
Physician Assistant in Nags Head, NC

Q: What is Kellie Tatro's NPI number?

The NPI number for Kellie Tatro is 1366905705. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Q: What is Kellie Tatro's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellie Tatro was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 11, 2019PECOS EnrolledAccepts Medicare Assignment

4800 S CROATAN HWY, NAGS HEAD, NC 27959(252) 449-5600 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2026, Aug 16, 2022, Dec 10, 2021 and 1 more (4 updates tracked since 2019).

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About Kellie Deanne Tatro Pa-c, Rra, Rt(r) NPPES

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

KELLIE DEANNE TATRO PA-C, RRA, RT(R) (NPI 1366905705) is an individual physician assistant in Nags Head, North Carolina, licensed in North Carolina (301411) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366905705

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLIE DEANNE TATROCredential: PA-C, RRA, RT(R)

Location Address4800 S CROATAN HWYNags Head, NC 27959-9704

Mailing Address4800 S Croatan HwyNags Head, NC 27959-9704 · (252) 449-5600

Phone(252) 449-5600

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 11, 2019

Last NPPES UpdateApril 9, 20264 updates tracked since enumeration

NPPES CertifiedApril 9, 2026

✔ NPI 1366905705 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 · 301411✔ Licensed in MD · C0010339

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 ListedRadiology Practitioner AssistantTaxonomy 243U00000X · License 349813

4800 S CROATAN HWY, Nags Head, NC 27959

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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

Kellie Deanne Tatro Pa-c, Rra, Rt(r) 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 ID2860884517

PECOS Enrollment IDI20220110001322

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

175 services167 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

100 services97 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

79 services75 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27959 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 20

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

CYNTHIA GAIL SHAHED NP-C

Nurse Practitioner (Adult Health)