KENNEDY SELBY PA-C
NPI 1932076239
Physician Assistant in Wilmington, NC

Q: What is Kennedy Selby's NPI number?

The NPI number for Kennedy Selby is 1932076239. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Q: What is Kennedy Selby'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 Kennedy Selby was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 21, 2025PECOS EnrolledAccepts Medicare Assignment

3787 SHIPYARD BLVD, WILMINGTON, NC 28403(910) 332-3800 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kennedy Selby Pa-c NPPES

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

KENNEDY SELBY PA-C (NPI 1932076239) is an individual physician assistant in Wilmington, North Carolina, licensed in North Carolina (0010-15480) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1932076239

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKENNEDY SELBYCredential: PA-C

Location Address3787 SHIPYARD BLVDWilmington, NC 28403-6148

Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (910) 332-3800 · Fax (910) 241-0421

Phone(910) 332-3800

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 21, 2025

Last NPPES UpdateNovember 17, 2025

NPPES CertifiedNovember 17, 2025

✔ NPI 1932076239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-15480

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.

3787 SHIPYARD BLVD, Wilmington, NC 28403

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Secondary Practice Location 1

Location 12501 N Blackwelder AveOklahoma City, OK 73106-1402 · Phone (405) 208-5000

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

Kennedy Selby Pa-c 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 ID2860971298

PECOS Enrollment IDI20260206000201

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

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340141

Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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.

BRAD WINSLOW NOLAN DPT

Physical Therapist