Kelly Grant Ezzell, ARNP - Medicare Nurse Practitioner in Wilmington, NC

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Kelly Grant Ezzell, ARNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Wilmington, North Carolina. She went to Medical University Of South Carolina College Of Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 1501 Dock St, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 254-9898.

Kelly Grant Ezzell is licensed to practice in North Carolina (license number 319192) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1760906184.

Contact Information

Kelly Grant Ezzell, ARNP
1501 Dock St,
Wilmington, NC 28401-4936
(910) 254-9898
Not Available

Map and Direction




Provider's Profile

Full NameKelly Grant Ezzell
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1501 Dock St, Wilmington, North Carolina
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Grant Ezzell attended and graduated from Medical University Of South Carolina College Of Medicine in 2017
  NPI Data:
  • NPI Number: 1760906184
  • Provider Enumeration Date: 07/27/2017
  • Last Update Date: 07/10/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5991070740
  • Enrollment ID: I20251003001311

Medical Identifiers

Medical identifiers for Kelly Grant Ezzell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760906184NPI-NPPES
022054500MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 319192 (North Carolina)Primary
2088P0231XUrology - Pediatric Urology ARNP9384638 (Florida)Secondary
363L00000XNurse Practitioner ARNP9384638 (Florida)Secondary

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. Kelly Grant Ezzell allows following entities to bill medicare on her behalf.
Entity NameEast Carolina University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972551919
PECOS PAC ID: 0244143246
Enrollment ID: O20031106000400

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. Kelly Grant Ezzell 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 AddressPractice Location Address
Kelly Grant Ezzell, ARNP
1501 Dock St,
Wilmington, NC 28401-4936

Ph: (910) 254-9898		Kelly Grant Ezzell, ARNP
1501 Dock St,
Wilmington, NC 28401-4936

Ph: (910) 254-9898

Reviews and Comments


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Phone: 910-341-3300    Fax: 910-251-2067
Mrs. Shannon Boney Mathis, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1090 Medical Center Dr, Wilmington, NC 28401
Phone: 910-662-8550    Fax: 910-343-1924
Nannette B Martin, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 2131 S 17th St, Wilmington, NC 28401
Phone: 910-772-9202    Fax: 910-772-9452
Elizabeth Granger, NNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 2131 S 17th St, Wilmington, NC 28401
Phone: 910-667-2970    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.