KELLY ANN WITTENBROOK ANP
NPI 1073868519
Nurse Practitioner in Hampton, VA
About Kelly Ann Wittenbrook Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANN WITTENBROOK ANP (NPI 1073868519) is an individual nurse practitioner in Hampton, Virginia, licensed in Virginia (0024172480) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chapel Hill, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Ann Wittenbrook Anp 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.
Medicare Billing Reassignments
10Medicare enrollment records show Kelly Wittenbrook reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norfolk, VA 23502
- Reassigned Medicare billing, Virginia enrollment
- 1,901 clinicians in this Medicare group
Midlothian, VA 23114
- Reassigned Medicare billing, Virginia enrollment
- 130 clinicians in this Medicare group
Midlothian, VA 23114
- Reassigned Medicare billing, Virginia enrollment
- 101 clinicians in this Medicare group
Midlothian, VA 23114
- Reassigned Medicare billing, Virginia enrollment
- 86 clinicians in this Medicare group
Concord, NC 28025
- Reassigned Medicare billing, Indiana and Kentucky enrollments
- 139 clinicians in this Medicare group
Charlotte, NC 28217
- Reassigned Medicare billing, Virginia enrollment
- 86 clinicians in this Medicare group
Lexington, KY 40504
- Reassigned Medicare billing, Indiana enrollment
- 135 clinicians in this Medicare group
Columbus, IN 47201
- Reassigned Medicare billing, Indiana, Kentucky and Ohio enrollments
- 129 clinicians in this Medicare group
Indianapolis, IN 46204
- Reassigned Medicare billing, Indiana, Kentucky and Ohio enrollments
- 210 clinicians in this Medicare group
Merrillville, IN 46410
- Reassigned Medicare billing, Indiana, Kentucky and Ohio enrollments
- 233 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23666 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Wittenbrook's NPI number?
The NPI number for Kelly Wittenbrook is 1073868519. It was assigned to this individual provider in the NPPES registry on July 20, 2012.
Where is Kelly Wittenbrook located?
Kelly Wittenbrook practices at 3000 Coliseum Dr Fl 2, Hampton, VA 23666. The listed phone number is (757) 736-1347.
What is Kelly Wittenbrook's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelly Wittenbrook enrolled in Medicare?
Yes. Kelly Wittenbrook is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelly Wittenbrook's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Wittenbrook reassigns Medicare benefits to 10 organizations: Sentara Medical Group (Norfolk, VA), Eventus Premier Healthcare LLC (Midlothian, VA), Eventus Wh Mid-Atlantic Care LLC (Midlothian, VA), Eventus Wh Mid-Atlantic, LLC (Midlothian, VA), Eventus Wh Midwest Care, LLC (Concord, NC) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Wittenbrook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Wittenbrook accept?
Health plans from CareSource, MedMutual and Molina Healthcare list Kelly Wittenbrook as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly Wittenbrook was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Kelly Ann Wittenbrook, ANP · NPI 1073868519
Nurse Practitioner physician in Hampton, Virginia. Individual provider, active in the CMS NPPES registry since July 20, 2012.
## Identity
- **NPI:** 1073868519 (Entity type: Individual)
- **Enumerated:** July 20, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 0024172480 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3000 COLISEUM DR FL 2, Hampton, VA 23666-5963
- **Phone:** (757) 736-1347
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Sentara Medical Group (NPI 1265485270, Norfolk, VA); Eventus Premier Healthcare LLC (NPI 1437998309, Midlothian, VA); Eventus Wh Mid-Atlantic Care LLC (NPI 1063253490, Midlothian, VA); Eventus Wh Mid-Atlantic, LLC (NPI 1700627130, Midlothian, VA); Eventus Wh Midwest Care, LLC (NPI 1588481717, Concord, NC); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 13, 2025
- **Other identifiers:** Medicaid 01406284 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1073868519) · Data from the CMS NPPES public registry.