KELLI JO HUPP FNP-C
NPI 1073255287
Nurse Practitioner - Family in Dawes, WV

Q: What is Kelli Hupp's NPI number?

The NPI number for Kelli Hupp is 1073255287. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Q: What is Kelli Hupp'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 Kelli Hupp was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 April 08, 2022PECOS Enrolled

5722 CABIN CREEK RD, DAWES, WV 25054(304) 595-5006(304) 595-5007 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kelli Jo Hupp Fnp-c NPPES

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

KELLI JO HUPP FNP-C (NPI 1073255287) is an individual family provider in Dawes, West Virginia, licensed in West Virginia (112500) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073255287

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLI JO HUPPCredential: FNP-C

Location Address5722 CABIN CREEK RDDawes, WV 25054-7700

Mailing Address104 Alex LnCharleston, WV 25304-2952 · (304) 734-2040 · Fax (304) 734-2047

Phone(304) 595-5006

Fax(304) 595-5007

Sole ProprietorNo

Enumeration DateApril 8, 2022

Last NPPES UpdateAugust 3, 2023

NPPES CertifiedAugust 3, 2023

✔ NPI 1073255287 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 WV · 112500

5722 CABIN CREEK RD, Dawes, WV 25054

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Jo Hupp Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25054 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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 16

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

DR. CHARLES H.M. JACQUES M.D.

Family Medicine