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KELLY MARIE WAICUS MD
NPI 1710911375
Pediatrics - Sports Medicine in Chapel Hill, NC

Active since July 10, 2006PECOS Enrolled
6118 FARRINGTON RD STE A, CHAPEL HILL, NC 27517(984) 974-9977 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Marie Waicus Md NPPES

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

KELLY MARIE WAICUS MD (NPI 1710911375) is an individual sports medicine provider in Chapel Hill, North Carolina, licensed in North Carolina (9801106) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1995).

NPPES Registry Identity

NPI1710911375
Entity TypeIndividualFemale
Primary Taxonomy2080S0010X
Provider Legal NameKELLY MARIE WAICUSCredential: MD
Location Address6118 FARRINGTON RD STE AChapel Hill, NC 27517-8108
Mailing Address5221 Paramount Pkwy Ste 420Morrisville, NC 27560-5491
Phone(984) 974-9977
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1995
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 14, 2026
NPPES CertifiedAugust 14, 2026
✔ NPI 1710911375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License✔ Licensed in NC · 9801106
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedPediatricsTaxonomy 208000000X · License 9801106 (NC)
6118 FARRINGTON RD STE A, Chapel Hill, NC 27517
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Marie Waicus Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416416748
PECOS Enrollment IDI20260827001346
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Waicus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of North Carolina At Chapel Hill
3.7 mi
Anesthesiology
101 MANNING DR
Chapel Hill, NC 27514
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 clinicians in this Medicare group
NPI 1780669200 (984) 974-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

BLAKE ALEXANDER BARTON MD
Internal Medicine (Sports Medicine)
6118 FARRINGTON RD STE A
CHAPEL HILL, NC 27517
Chatham County (984) 974-9977
DR. ANTHONY JAMES GARZONE DO
Family Medicine
6118 FARRINGTON RD STE A
CHAPEL HILL, NC 27517
Chatham County (984) 974-9977
MR. JOSHUA LUCAS CORWIN PA
Physician Assistant
6118 FARRINGTON RD STE A
CHAPEL HILL, NC 27517
Chatham County (984) 974-9977
THOMAS EUGENE BRICKNER MD
Internal Medicine (Sports Medicine)
6118 FARRINGTON RD STE A
CHAPEL HILL, NC 27517
Chatham County (984) 974-9977
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Orthopaedic Surgery
6118 FARRINGTON RD STE A
CHAPEL HILL, NC 27517
Chatham County (984) 974-9977
ASHTON BLAIR ISLEY FNP
Nurse Practitioner (Family)
6118 FARRINGTON RD STE A
CHAPEL HILL, NC 27517
Chatham County (984) 974-9977

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 Kelly Waicus's NPI number?

The NPI number for Kelly Waicus is 1710911375. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Kelly Waicus located?

Kelly Waicus practices at 6118 Farrington Rd Ste A, Chapel Hill, NC 27517. The listed phone number is (984) 974-9977.

What is Kelly Waicus's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Kelly Waicus enrolled in Medicare?

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

Which organization bills Medicare for Kelly Waicus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Waicus reassigns Medicare benefits to University Of North Carolina At Chapel Hill (Chapel Hill, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Waicus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Waicus accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kelly Waicus 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.

When was this NPI record last updated?

The NPPES record for Kelly Waicus was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.