Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851541593 Individual Practitioner Female Practitioner

Kellie Renee' Longenecker , PA-C

Physician Assistant • Arcadia, FL

Professional Overview & Biography Verified Profile Summary

Kellie Longenecker, PA-C is a registered healthcare professional specializing in Physician Assistant in Arcadia, FL. Practice services are available at 901 N WALDRON ST. under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

901 N Waldron St.

Arcadia, FL 342665011

Telephone 8633034260
Fax 8634943227

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Arcadia, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Arcadia, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
14 14 $250.00 $95.97

Medical Specialties & State Licenses

CMS Verified: 2021-10-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9104809

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Hannah Bair , PA

Physician Assistant - Medical

NPI 1053473678

Physician Assistant

Susan Cobb , LCSW

Counselor - Mental Health

NPI 1295795441

Licensed Clinical Social Worker

Jessica Fennell-Thomas , APRN

Nurse Practitioner - Family

NPI 1730623851

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated October 04, 2021

Recorded as KELLIE LONGENECKER, PA-C

NPI Profile Active December 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2016

Registered at 901 N WALDRON ST., ARCADIA, FL 342665011 (Tel: 8633034260)

📍
Updated Business Mailing Address December 30, 2016

Registered at 901 N WALDRON ST, ARCADIA, FL 342663541 (Tel: 8633034260)

👤
Provider Name / Credentials Updated December 30, 2016

Recorded as KELLIE TUCKER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2016

Physician Assistant (License #PA9104809 in FL)

🟢
Initial NPI Registration & Enumeration September 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851541593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2008
Last Update: October 04, 2021
Sole Proprietor: No

Mailing Address

901 N Waldron St

Arcadia, FL 342663541

Phone: 8633034260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.