Kelly Spencer, FNP-BC - Medicare Nurse Practitioner in Ashburn, VA

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Kelly Spencer, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Ashburn, Virginia. Her current practice location is 21035 Sycolin Road, Suite 180, Ashburn, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 783-5673.

Kelly Spencer is licensed to practice in Virginia (license number 0024186610) 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 1639870652.

Contact Information

Kelly Spencer, FNP-BC
21035 Sycolin Road, Suite 180,
Ashburn, VA 20147-4311
(703) 783-5673
(703) 297-3919

Map and Direction




Provider's Profile

Full NameKelly Spencer
GenderFemale
SpecialityNurse Practitioner - Family
Location21035 Sycolin Road, Suite 180, Ashburn, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639870652
  • Provider Enumeration Date: 03/16/2023
  • Last Update Date: 03/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799150017
  • Enrollment ID: I20230418002156

Medical Identifiers

Medical identifiers for Kelly Spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639870652NPI-NPPES
30017597090001MedicaidVA
1639870652MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024186610 (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. Kelly Spencer allows following entities to bill medicare on her behalf.
Entity NameLoudoun Medical Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679591440
PECOS PAC ID: 0042119661
Enrollment ID: O20041115000474

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. Kelly Spencer 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
Kelly Spencer, FNP-BC
224d Cornwall Street, Nw, Suite 403,
Leesburg, VA 20176-2704

Ph: (703) 737-6001		Kelly Spencer, FNP-BC
21035 Sycolin Road, Suite 180,
Ashburn, VA 20147-4311

Ph: (703) 783-5673

Reviews and Comments


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Meryl Kray, FNP-BC
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Phone: 347-761-7200    

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.