KELSEY WISE MCCOY PA
NPI 1689043952
Physician Assistant - Medical in Lebanon, VA

Active since September 17, 2015PECOS EnrolledAccepts Medicare Assignment
58 CARROLL STREET, LEBANON, VA 24266(276) 883-8000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Feb 28, 2018 (2 updates tracked since 2018).

About Kelsey Wise Mccoy Pa NPPES

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

KELSEY WISE MCCOY PA (NPI 1689043952) is an individual medical provider in Lebanon, Virginia and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1689043952
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELSEY WISE MCCOYCredential: PA
Location Address58 CARROLL STREETLebanon, VA 24266
Mailing Address21 Tumbez Hollow RdLebanon, VA 24266-5629 · (276) 794-9125
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 17, 2015
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1689043952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
58 CARROLL STREET, Lebanon, VA 24266

Secondary Practice Location 1

Location 171 S Flannagan Ave, Suite ALebanon, VA 24266 · Phone (276) 883-8042 · Fax (276) 883-8044

Accepted 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 Wise Mccoy 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 ID7012218837
PECOS Enrollment IDI20151222000052
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.

Hospital Affiliations CMS Care Compare 5

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Russell County Hospital

Acute Care Hospitals · Lebanon, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490002
Location58 Carroll StreetLebanon, VA 24266 · Russell County
Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Clinch Valley Medical Center

Acute Care Hospitals · Richlands, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490060
Location6801 Governor Gc Perry HighwayRichlands, VA 24641 · Tazewell County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

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
2 suppliers19 claims19 services$8.06 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers36 claims36 services$107.58 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers18 claims2,646 services$0.07 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$31.22 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers12 claims12 services$21.67 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 17

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

General Acute Care Hospital
58 CARROLL STREET
LEBANON, VA 24266
Psychiatric Unit
58 CARROLL STREET
LEBANON, VA 24266
Medicare Defined Swing Bed Unit
58 CARROLL STREET
LEBANON, VA 24266
Surgery
58 CARROLL STREET
LEBANON, VA 24266
Anesthesiology
58 CARROLL STREET
LEBANON, VA 24266
Anesthesiology
58 CARROLL STREET
LEBANON, VA 24266
Surgery
58 CARROLL STREET, STE 2
LEBANON, VA 24266
Emergency Medicine
58 CARROLL STREET
LEBANON, VA 24266

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 Mccoy's NPI number?

The NPI number for Kelsey Mccoy is 1689043952. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Where is Kelsey Mccoy located?

Kelsey Mccoy practices at 58 Carroll Street, Lebanon, VA 24266. The listed phone number is (276) 883-8000.

What is Kelsey Mccoy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelsey Mccoy enrolled in Medicare?

Yes. Kelsey Mccoy 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 Mccoy accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Kelsey Mccoy 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 Mccoy affiliated with any hospitals?

According to CMS data, Kelsey Mccoy is affiliated with Wellmont Bristol Regional Medical Center, Johnson City Medical Center, Russell County Hospital, Johnston Memorial Hospital and Clinch Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kelsey Mccoy was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.