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Kasey Ellis Chmelik

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

16645 Birkdale Commons Pkwy, Ste 100, Huntersville, NC 28078-5669

PECOS Enrollment

This provider is enrolled in PECOS as KASEY CHMELIK.

Based on the most recent information from CMS, provider Kasey Ellis Chmelik is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:49 AM.

Profile Details

Provider ID
1518674290
Provider Type
Individual
Full Name
Chmelik, Kasey Ellis
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
11/1/2022
Last Updated
1/22/2026

Contact Information

Practice Location

16645 Birkdale Commons Pkwy, Ste 100, Huntersville, NC 28078-5669

(704) 801-7390

Unlisted Fax

Mailing Location

PO Box 19305, Charlotte, NC 28219-9305

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5017557 North Carolina
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5017557 North Carolina

Kasey Ellis Chmelik

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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