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NPI · 1366905705 · NPPES-sourced

Kellie Tatro PA-C, Rra, Rt(r)

ActivePhysician Assistant
NPI Number
1366905705
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(252) 449-5600
License NC · 301411
Last Updated
About 8 weeks ago (Apr 2026)
Enumerated 2019-04-11
Primary practice addressNC · 27959-9704
4800 S Croatan HwyNags Head, NC 27959-9704
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About this NPIWhat this record shows.

NPI 1366905705 is registered to Kellie Tatro PA-C, Rra, Rt(r), a Physician Assistant practising at 4800 S Croatan Hwy in Nags Head, North Carolina. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Kellie Tatro PA-C, Rra, Rt(r) has been enumerated in the National Provider Identifier (NPI) registry since 2019.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2019-04-11
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kellie Tatro PA-C, Rra, Rt(r) accepts. To confirm in-network status with your specific health plan, contact Kellie Tatro PA-C, Rra, Rt(r) directly at (252) 449-5600.

Frequently asked

Yes. NPI 1366905705 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (252) 449-5600.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kellie Tatro PA-C, Rra, Rt(r) is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated2026-04
Enumerated2019-04-11
StatusActive
Partneri
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10 records · same addressOther providers at this location.

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Same specialtyOther Physician Assistant providers in North Carolina.

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