KELLY COMOLLI WILSON MD
NPI 1023646858
Anesthesiology in Charlotte, NC

NPI Status: Active since March 28, 2020

Contact Information

3735 GLENLAKE DR STE 250
CHARLOTTE, NC
ZIP 28208
Phone: (704) 749-5800

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  • Individual
  • Female
  • Years of Experience 6
  • Anesthesiology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KELLY WILSON

This page provides the complete NPI Profile along with additional information for Kelly Wilson, an anesthesiologist established in Charlotte, North Carolina with a medical specialization in Anesthesiology and more than 6 years of experience. She graduated from Georgetown University School Of Medicine in 2020. The healthcare provider is registered in the NPI registry with number 1023646858 assigned on March 2020. The practitioner's primary taxonomy code is 207L00000X with license number 2024-01389 (NC). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1023646858
Provider Name
KELLY COMOLLI WILSON MD
Gender
Female
Entity Type
Individual
Location Address
3735 GLENLAKE DR STE 250 CHARLOTTE, NC 28208
Location Phone
(704) 749-5800
Mailing Address
PO BOX 117661 ATLANTA, GA 30368
Mailing Phone
(704) 749-5800
Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2020
Is Sole Proprietor?
Yes
Enumeration Date
03-28-2020
Last Update Date
07-16-2024
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An anesthesiologist like Kelly Wilson manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
2024-01389
License State
NC
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Medicare Participation & PECOS Enrollment Status

Kelly Wilson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kelly Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3375965593

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240927000798

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kelly Wilson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER200 HAWTHORNE LANE BOX 33549
CHARLOTTE, NC 28233
(704) 384-4000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023646858
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
204312412810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 2 + 4 + 1 + 2 + 8 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1023646858 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396739884PROVIDENCE ANESTHESIOLOGY ASSOCIATES, P.A.
Organization
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1881758019 THOMAS W QUIGLEY M.D.
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1023779691PROVIDENCE ANESTHESIOLOGY ASSOCIATES, P.A.
Organization
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1982066122 CHRISTOPHER PARSONS M.D.
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5801
1407242944 BRETT K SHAFFER MD
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5801
1124482880 SARAH SWEETMAN MD
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1427031715DR. BRIAN R. EMERSON M.D.
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1699769117 CHRISTOPHER JAY DUGGINS MD
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1992279723MS. HALEY SUZANNE FRANCK CRNA
Individual
Nurse Anesthetist, Certified Registered3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1922366350 OLUTOYOSI OGUNKUA
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1932632346DR. BRIAN BARRETT D.O.
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1134783897DR. AMIRA CHOUCAIR MD, PHD
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1144534652MRS. JESSICA SHEARL LEWIS CRNA
Individual
Nurse Anesthetist, Certified Registered3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1437442886 NATALYA RIEK D.O.
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 704-9580
1437610508 NEIL ANDREW MCKEE
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1265822464 CHRISTINA CROFT FULTON CRNA
Individual
Nurse Anesthetist, Certified Registered3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1265865653 KRISTIN M IRELAND ACNP-BC
Individual
Nurse Practitioner3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1205360260DR. HAROLD DOUGLAS WACKERLE M.D.
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1104323997 JASON KOPENITZ DO
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800
1770111601 WILLIAM ANDERSON COX MD
Individual
Anesthesiology3735 GLENLAKE DR STE 250
CHARLOTTE, NC 28208
(704) 749-5800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023646858, enumerated in the NPI registry as an "individual" on March 28, 2020

The provider is located at 3735 Glenlake Dr Ste 250 Charlotte, Nc 28208 and the phone number is (704) 749-5800

The provider's speciality is Anesthesiology with taxonomy code 207L00000X

The provider has more than 6 years of experience. She graduated from Georgetown University School Of Medicine in 2020.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 28, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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