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JACQUELINE KELLY
NPI 1124109624
Nurse Practitioner - Family in Norfolk, VA

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
4.8/100
CMS Quality Rating
400 GRESHAM DR, SUITE 303, NORFOLK, VA 23507(757) 627-6416 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Kelly NPPES

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

JACQUELINE KELLY (NPI 1124109624) is an individual family provider in Norfolk, Virginia, licensed in Virginia (0024165999) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124109624
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE KELLY
Location Address400 GRESHAM DR, SUITE 303Norfolk, VA 23507-1901
Mailing Address400 Gresham Dr, Suite 303Norfolk, VA 23507-1901 · (757) 627-6416
Phone(757) 627-6416
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124109624 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 · 0024165999
400 GRESHAM DR, Norfolk, VA 23507
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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

Jacqueline Kelly 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 ID8123393956
PECOS Enrollment IDI20180104000585
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 8

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
305 services164 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
279 services112 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
130 services40 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
101 services35 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
58 services58 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
35 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23507 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

4.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost16.02

Other Providers at the Same Location NPPES 20

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

THERESA W WHIBLEY M.D
Obstetrics & Gynecology
400 GRESHAM DR, SUITE 811
NORFOLK, VA 23507
Norfolk City (757) 623-3845
DR. STEPHEN CAPLAN M.D.
Internal Medicine (Gastroenterology)
400 GRESHAM DR, SUITE 205
NORFOLK, VA 23507
Norfolk City (757) 622-6601
MS. MARY D HUDSON FNP-BC
Nurse Practitioner (Family)
400 GRESHAM DR, SUITE 808
NORFOLK, VA 23507
Norfolk City (757) 622-7998
MS. RACHEL E ROTENBERRY NP
Nurse Practitioner (Women's Health)
400 GRESHAM DR, SUITE 811
NORFOLK, VA 23507
Norfolk City (757) 623-3845
REBOUND INC OF VA.
Durable Medical Equipment & Medical Supplies
400 GRESHAM DR, MEDICAL TOWER ANNEX
NORFOLK, VA 23507
Norfolk City (757) 625-0518
CEDRIC D PINCKENS MD
Specialist
400 GRESHAM DR, SUITE 503
NORFOLK, VA 23507
Norfolk City (757) 623-7575
MRS. TRISHA MARIE STUEBER PA-C
Physician Assistant
400 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 668-8566
MID-ATLANTIC WOMENS CARE PLC
Obstetrics & Gynecology
400 GRESHAM DR, SUITE 811
NORFOLK, VA 23507
Norfolk City (757) 623-3845

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 Jacqueline Kelly's NPI number?

The NPI number for Jacqueline Kelly is 1124109624. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Jacqueline Kelly located?

Jacqueline Kelly practices at 400 Gresham Dr Suite 303, Norfolk, VA 23507. The listed phone number is (757) 627-6416.

What is Jacqueline Kelly's specialty?

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

Is Jacqueline Kelly enrolled in Medicare?

Yes. Jacqueline Kelly 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.