Mrs Kelley N Ross, FNP-BC in Spencer, WV - Medicare Nurse Practitioner

Mrs Kelley N Ross, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Spencer, West Virginia. Her current practice location is 200 Hospital Dr, Spencer, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 927-6812.

Mrs Kelley N Ross is licensed to practice in West Virginia (license number APRN58584) 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 1306084728.

Contact Information

	Mrs Kelley N Ross, FNP-BC
	200 Hospital Dr, Spencer, WV 25276-1050
	(304) 927-6812
	(304) 927-6393

Map and Direction

Provider's Profile

Full Name	Mrs Kelley N Ross
Gender	Female
Speciality	Nurse Practitioner - Family
Location	200 Hospital Dr, Spencer, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306084728
Provider Enumeration Date: 01/22/2009
Last Update Date: 01/02/2024

Medicare PECOS Information:

PECOS PAC ID: 7810117363
Enrollment ID: I20231117001416

Medical Identifiers

Medical identifiers for Mrs Kelley N Ross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306084728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	58584 (West Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN58584 (West 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. Mrs Kelley N Ross allows following entities to bill medicare on her behalf.

Entity Name	Hospital Development Co.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790745677 PECOS PAC ID: 4183527476 Enrollment ID: O20040406000528

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. Mrs Kelley N Ross 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 Address	Practice Location Address
Mrs Kelley N Ross, FNP-BC 200 Hospital Dr, Spencer, WV 25276-1050 Ph: (304) 927-4444	Mrs Kelley N Ross, FNP-BC 200 Hospital Dr, Spencer, WV 25276-1050 Ph: (304) 927-6812

Reviews and Comments

Nurse Practitioner Nurses in Spencer, WV

Jennifer M Cox, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Spencer, WV 25276 Phone: 304-927-6844 Fax: 304-927-6837
Richard Scott Criser, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Hospital Dr, Spencer, WV 25276 Phone: 304-927-6822 Fax: 304-927-6393
Terra D Keen-smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Hospital Dr, Spencer, WV 25276 Phone: 304-927-6822
David Lee Hopper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Hospital Dr, Spencer, WV 25276 Phone: 304-927-6822 Fax: 304-927-6383
Donna Joyce Shanholtzer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 146 Williams Dr, Spencer, WV 25276 Phone: 304-927-1495 Fax: 304-927-8189
Miranda Hamilton, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 146 Williams Dr, Spencer, WV 25276 Phone: 304-927-1495

Mrs Kelley N Ross, FNP-BC - Medicare Nurse Practitioner in Spencer, WV