Ashley Marie Kelly, MSN-FNP - Medicare Nurse Practitioner in Petersburg, VA

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Ashley Marie Kelly, MSN-FNP is a medicare enrolled "Nurse Practitioner - Family" in Petersburg, Virginia. Her current practice location is 200 Medical Park Blvd, Petersburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 765-5000.

Ashley Marie Kelly is licensed to practice in Virginia (license number 2018007810) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912498577.

Contact Information

Ashley Marie Kelly, MSN-FNP
200 Medical Park Blvd,
Petersburg, VA 23805-9274
(804) 765-5000
Not Available

Map and Direction




Provider's Profile

Full NameAshley Marie Kelly
GenderFemale
SpecialityNurse Practitioner - Family
Location200 Medical Park Blvd, Petersburg, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912498577
  • Provider Enumeration Date: 05/19/2018
  • Last Update Date: 05/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8224386545
  • Enrollment ID: I20180802002549

Medical Identifiers

Medical identifiers for Ashley Marie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912498577NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0001237120 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 2018007810 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ashley Marie Kelly allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Intensivist Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912942665
PECOS PAC ID: 9335152107
Enrollment ID: O20190131001122

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley Marie Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ashley Marie Kelly, MSN-FNP
10225 Navarre Ct,
Henrico, VA 23238-5544

Ph: (716) 499-7140		Ashley Marie Kelly, MSN-FNP
200 Medical Park Blvd,
Petersburg, VA 23805-9274

Ph: (804) 765-5000

Reviews and Comments


Nurse Practitioner Nurses in Petersburg, VA

Ms. Nancy Joyner Gauldin, CNP
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Phone: 804-863-1652    Fax: 804-862-6126
Olivia Mendoza, NP
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Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805
Phone: 804-861-0700    
Linda P. Whiteley, NP
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Phone: 804-862-1652    
Jocelyn L Burls, NP-C
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Practice Location: 321c Poplar Dr, Petersburg, VA 23805
Phone: 804-733-5591    
Chiquita Michone Thomas-jackson, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 3916 S Crater Rd, Petersburg, VA 23805
Phone: 804-526-4300    
Ms. Erica Lynn Bagby, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 321c Poplar Dr, Petersburg, VA 23805
Phone: 804-733-5591    Fax: 804-733-3506
Ms. Evelyn Maria Cason, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 849 S Sycamore St Ste A, Petersburg, VA 23803
Phone: 804-715-1031    Fax: 804-203-4722

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.