Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelsey Wise McCoy, PA

Individual provider Medical Physician Assistant · NPI 1689043952

Kelsey Wise McCoy, PA is a Physician Assistant in Lebanon, Virginia. Qualified in 2015, 11 years ago. Practices with Mountain States Health Alliance, a 23-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

58 Carroll St
Lebanon, VA 24266
Phone: (276) 883-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 71 S Flannagan Ave, Lebanon, VA 24266 — (276) 883-8042

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1689043952
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 17, 2015
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mountain States Health Alliance — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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