KELSEY JEAN ANDERSON PA
NPI 1679967749
Physician Assistant in Kernersville, NC

Q: What is Kelsey Anderson's NPI number?

The NPI number for Kelsey Anderson is 1679967749. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Q: What is Kelsey Anderson'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 Kelsey Anderson was last updated on February 2, 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.

Active since March 26, 2015PECOS EnrolledAccepts Medicare Assignment

1730 KERNERSVILLE MEDICAL PKWY STE 101, KERNERSVILLE, NC 27284(336) 564-4950(336) 564-4959 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2022, Mar 16, 2021, Dec 6, 2019 and 5 more (8 updates tracked since 2016).

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About Kelsey Jean Anderson Pa NPPES

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

KELSEY JEAN ANDERSON PA (NPI 1679967749) is an individual physician assistant in Kernersville, North Carolina, licensed in North Carolina (0010-11902) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1679967749

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELSEY JEAN ANDERSONCredential: PA

Location Address1730 KERNERSVILLE MEDICAL PKWY STE 101Kernersville, NC 27284-7198

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 564-4950 · Fax (336) 564-4959

Phone(336) 564-4950

Fax(336) 564-4959

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 26, 2015

Last NPPES UpdateFebruary 2, 20228 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2022

✔ NPI 1679967749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NC · 0010-11902✔ Licensed in SC · PA2325

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.

1730 KERNERSVILLE MEDICAL PKWY STE 101, Kernersville, NC 27284

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Secondary Practice Locations 2

Location 1768 Country Club DrPawleys Island, SC 29585-8094 · Phone (937) 776-6792

Location 22200 Crow LnMyrtle Beach, SC 29577-1663 · Phone (843) 848-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, First Choice Next.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 Jean Anderson Pa 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 ID5092029504

PECOS Enrollment IDI20220210002686

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

50 services36 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

31 services19 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$4.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

MR. TYWAN J LINDSEY LCSW

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