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

Individual provider Physician Assistant · NPI 1003029125

Staci Carter-Kelly, RPA is a Physician Assistant in Plattsburgh, New York. Qualified in 2001, 25 years ago. Practices with Champlain Valley Physicians Hospital Medical Center, a 352-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

23 Hammond Ln
Plattsburgh, NY 12901-2000
Phone: (518) 561-1322
Fax: (518) 561-3420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008144 (NY)

Record details

NPI number1003029125
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA
Sole proprietorNo
NPI enumeratedMay 7, 2007
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Champlain Valley Physicians Hospital Medical Center — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Plattsburgh