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

Mrs. Gaelyn Elliott Young Krickovic, PA

Individual provider Physician Assistant · NPI 1194594036

Mrs. Gaelyn Elliott Young Krickovic, PA is a Physician Assistant in Kernersville, North Carolina. Qualified in 2023, 3 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1730 Kernersville Medical Pkwy Ste 104
Kernersville, NC 27284-7198
Phone: (336) 765-5470
Fax: (336) 499-5428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 525 N 21st St, Richmond, VA 23223-7258 — (757) 406-3245

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14225 (NC)
Physician Assistant Taxonomy 363A00000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 5019933 (NC)

Record details

NPI number1194594036
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 20, 2023
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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