Kellie Shay Caudle, in Hickory, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Kellie Shay Caudle, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hickory, North Carolina. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Catawba Valley Medical Center, Iredell Memorial Hospital Incorporated, Wake Forest University Health Sciences and her current practice location is 810 Fairgrove Church Rd, Hickory, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 326-3000.

Kellie Shay Caudle is licensed to practice in North Carolina (license number 092878) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134565526.

Contact Information

	Kellie Shay Caudle,
	810 Fairgrove Church Rd, Hickory, NC 28602-9617
	(828) 326-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kellie Shay Caudle
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	810 Fairgrove Church Rd, Hickory, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kellie Shay Caudle graduated from nursing school in 2013

NPI Data:

NPI Number: 1134565526
Provider Enumeration Date: 05/13/2013
Last Update Date: 08/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1052551744
Enrollment ID: I20130628000805

Medical Identifiers

Medical identifiers for Kellie Shay Caudle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134565526	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	092878 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Catawba Valley Medical Center	Hickory, NC	Hospital
Iredell Memorial Hospital Inc	Statesville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Catawba Valley Medical Center	0547178907	86
Iredell Memorial Hospital Incorporated	0648175927	30
Wake Forest University Health Sciences	4486564952	2274

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kellie Shay Caudle allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	Catawba Valley Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164495255 PECOS PAC ID: 0547178907 Enrollment ID: O20040303000589

Entity Name	Iredell Memorial Hospital, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548230204 PECOS PAC ID: 0648175927 Enrollment ID: O20040305000537

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie Shay Caudle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kellie Shay Caudle, 810 Fairgrove Church Rd, Hickory, NC 28602-9617 Ph: (828) 326-3000	Kellie Shay Caudle, 810 Fairgrove Church Rd, Hickory, NC 28602-9617 Ph: (828) 326-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Hickory, NC

Mr. Hermann Curt Spiegel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 242a 9th Ave Dr Ne, Hickory, NC 28601 Phone: 828-327-6673
Tracy A. Ellingson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 242a 9th Ave Dr Ne, Hickory, NC 28601 Phone: 828-327-6673
Mrs. Terry C Wellman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 3rd Ave Ne Ste 200, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245
Mr. Donald E Lowe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245
Ida Louise Goodnight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 Fairgrove Church Rd, Hickory, NC 28602 Phone: 828-326-3809 Fax: 828-326-3371
Katherine D Dellinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Suite 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245
Robert A Hartman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 N Center St, Ste 201, Hickory, NC 28601 Phone: 828-327-8105 Fax: 828-327-4245

Kellie Shay Caudle, - Medicare Certified Registered Nurse Anesthetist (crna) in Hickory, NC