1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Physician Assistant
  6. NPI Profile

ALEXIS KEITH KELLY PA-C
NPI 1568020410
Physician Assistant - Surgical in Raleigh, NC

Active since June 04, 2019PECOS Enrolled
3000 NEW BERN AVE, RALEIGH, NC 27610(919) 350-7600 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 20, 2023, Jan 17, 2023, Oct 28, 2019 and 1 more (4 updates tracked since 2019).

About Alexis Keith Kelly Pa-c NPPES

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

ALEXIS KEITH KELLY PA-C (NPI 1568020410) is an individual surgical provider in Raleigh, North Carolina, licensed in North Carolina (0010-13244) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568020410
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameALEXIS KEITH KELLYCredential: PA-C
Location Address3000 NEW BERN AVERaleigh, NC 27610-1231
Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-0351 · Fax (919) 350-7687
Phone(919) 350-7600
Sole ProprietorNo
Enumeration DateJune 4, 2019
Last NPPES UpdateJanuary 30, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1568020410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NC · 0010-13244
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-13244 (NC)
3000 NEW BERN AVE, Raleigh, NC 27610
Open in Google Maps ↗

Other Identifiers 1

Medicaid1568020410NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Keith Kelly Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JILL M PAPPALARDI M.D.
Hospitalist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
MS. TONYA R GABLE LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-4163
MS. HOLLY H HEAD P-LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7445
KATHLEEN VALERIE FIGLER CFNP
Nurse Practitioner (Family)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8779
MRS. BAILEY HARDY UNDERHILL PA-C
Physician Assistant (Medical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
DR. SERDAL AKTOLGA M.D.
Internal Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
JESSICA CARTEE HOWE MS-CCC/SLP
Speech-Language Pathologist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 684-6271
ELIZABETH WILLIS DO
Anesthesiology
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000

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 Alexis Kelly's NPI number?

The NPI number for Alexis Kelly is 1568020410. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Alexis Kelly located?

Alexis Kelly practices at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-7600.

What is Alexis Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Alexis Kelly enrolled in Medicare?

Yes. Alexis Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexis Kelly was last updated on January 30, 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.