KELLY OLIVER SPANN NP
NPI 1003990441
Nurse Practitioner - Family in Williamsburg, VA

Q: What is Kelly Spann's NPI number?

The NPI number for Kelly Spann is 1003990441. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Kelly Spann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Spann was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment

400 SENTARA CIR STE 320, WILLIAMSBURG, VA 23188(757) 345-4800(757) 345-4801 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, Nov 13, 2015 (2 updates tracked since 2015).

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About Kelly Oliver Spann Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY OLIVER SPANN NP (NPI 1003990441) is an individual family provider in Williamsburg, Virginia, licensed in Virginia (0024165415) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Bon Secours Maryview Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1003990441

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY OLIVER SPANNCredential: NP

Location Address400 SENTARA CIR STE 320Williamsburg, VA 23188-5716

Mailing Address400 Sentara Cir Ste 320Williamsburg, VA 23188-5716 · (757) 345-4800 · Fax (757) 345-4801

Phone(757) 345-4800

Fax(757) 345-4801

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateOctober 24, 2006

Last NPPES UpdateJune 3, 20262 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1003990441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024165415

400 SENTARA CIR STE 320, Williamsburg, VA 23188

Open in Google Maps ↗

Secondary Practice Locations 3

Location 15659 Parkway Dr Ste 200Gloucester, VA 23061-3792 · Phone (757) 345-4800 · Fax (757) 510-9259

Location 211803 Jefferson Ave Ste 205Newport News, VA 23606-2565 · Phone (757) 736-9860 · Fax (757) 240-5537

Location 31250 E Marshall St, Dept. of Emergency MedicineRichmond, VA 23298-5051 · Phone (804) 828-0996 · Fax (804) 628-0368

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Oliver Spann Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527051291

PECOS Enrollment IDI20040407000859

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

85 services60 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490017

Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County

Emergency services

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490041

Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YANEKA RHEA ALAIMALO CRNA

Nurse Anesthetist, Certified Registered