KELLY PHAN VAN DO
NPI 1093344889
Obstetrics & Gynecology in Wooster, OH

Q: What is Kelly Van's NPI number?

The NPI number for Kelly Van is 1093344889. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Q: What is Kelly Van's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Van was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 April 03, 2020PECOS EnrolledAccepts Medicare Assignment

546 WINTER ST STE 100, WOOSTER, OH 44691(330) 202-5662(330) 202-5663 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2025, Apr 3, 2020 (2 updates tracked since 2020).

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About Kelly Phan Van Do NPPES

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

KELLY PHAN VAN DO (NPI 1093344889) is an individual obstetrics & gynecology provider in Wooster, Ohio, licensed in Ohio (34.018222) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Wooster Community Hospital, and maintains a secondary practice location in Millersburg.

NPPES Registry Identity

NPI1093344889

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKELLY PHAN VANCredential: DO

Location Address546 WINTER ST STE 100Wooster, OH 44691-2339

Mailing Address546 Winter St Ste 100Wooster, OH 44691-2339 · (330) 202-5662 · Fax (330) 202-5663

Phone(330) 202-5662

Fax(330) 202-5663

Sole ProprietorNo

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2020

Enumeration DateApril 3, 2020

Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1093344889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OH · 34.018222

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

546 WINTER ST STE 100, Wooster, OH 44691

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Secondary Practice Location 1

Location 17488 State Route 241Millersburg, OH 44654-8383 · Phone (330) 202-5662 · Fax (330) 202-5663

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare.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 Phan Van Do 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 ID2668899840

PECOS Enrollment IDI20251113000237

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Van reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bloomington Medical Services LLC

0.1 mi

Internal Medicine

1761 BEALL AVE
Wooster, OH 44691

Reassigned Medicare billing, Ohio enrollment
126 clinicians in this Medicare group

NPI 1528246683 (330) 263-8428

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Wooster Community Hospital

Acute Care Hospitals · Wooster, OH

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number360036

Location1761 Beall AvenueWooster, OH 44691 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44691 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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 2

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

STEPHANIE RAINS MD

Obstetrics & Gynecology

546 WINTER ST STE 100
WOOSTER, OH 44691

Wayne County (330) 202-5662

MONARCH OBSTETRICS AND GYNECOLOGY LLC

Obstetrics & Gynecology

546 WINTER ST STE 100
WOOSTER, OH 44691

Wayne County (330) 345-2229

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 Van's NPI number?

The NPI number for Kelly Van is 1093344889. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Kelly Van located?

Kelly Van practices at 546 Winter St Ste 100, Wooster, OH 44691. The listed phone number is (330) 202-5662.

What is Kelly Van's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kelly Van enrolled in Medicare?

Yes. Kelly Van 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 organization bills Medicare for Kelly Van's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Van reassigns Medicare benefits to Bloomington Medical Services LLC (Wooster, OH). The 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 Van's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Van accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Molina Healthcare list Kelly Van 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.

Is Kelly Van affiliated with any hospitals?

According to CMS data, Kelly Van is affiliated with Wooster Community Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Van was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.