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Kelly Capomaggi, PHYSICIAN ASSISTANT

NPI 1609429075ActiveIndividual· Physician Assistant· Fort Bragg, NC

Physician Assistant (PHYSICIAN ASSISTANT) with Carolinas Medical Center, practicing in Fort Bragg, North Carolina. Enrolled in Medicare as practitioner - physician assistant. Lists Carolinas Medical Center/Behav Health as a hospital affiliation.

Overview

NPI1609429075
StatusActive
Entity typeIndividual
CredentialPHYSICIAN ASSISTANT
Sole proprietorNo
NPI issuedJul 24, 2019
Last updated in NPPESAug 19, 2026
Certified by providerAug 19, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X0010-16103NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NC)

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Fort Bragg

All 204 physician assistants in Fort Bragg · All physician assistants in North Carolina