MRS. KELLIE MICHELLE TRENHOLME AGACNP-BC
NPI 1154781714
Nurse Practitioner - Acute Care in Riverdale, GA

Q: What is Kellie Trenholme's NPI number?

The NPI number for Kellie Trenholme is 1154781714. It was assigned to this individual provider in the NPPES registry on February 24, 2016.

Q: What is Kellie Trenholme's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Trenholme was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 February 24, 2016PECOS EnrolledAccepts Medicare Assignment

92.26/100

CMS Quality Rating

6507 PROFESSIONAL PL, RIVERDALE, GA 30274(251) 586-4530 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Kellie Michelle Trenholme Agacnp-bc NPPES

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

MRS. KELLIE MICHELLE TRENHOLME AGACNP-BC (NPI 1154781714) is an individual acute care provider in Riverdale, Georgia, licensed in Georgia (RN254826) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph's Hospital Of Atlanta, Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1154781714

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. KELLIE MICHELLE TRENHOLMECredential: AGACNP-BC

Location Address6507 PROFESSIONAL PLRiverdale, GA 30274-4941

Mailing Address230 Almond RdLagrange, GA 30241-8186 · (251) 586-4530

Phone(251) 586-4530

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 24, 2016

Last NPPES UpdateOctober 27, 2025

NPPES CertifiedOctober 27, 2025

✔ NPI 1154781714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in GA · RN254826

6507 PROFESSIONAL PL, Riverdale, GA 30274

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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

Mrs. Kellie Michelle Trenholme Agacnp-bc 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 ID5799069381

PECOS Enrollment IDI20170227001546

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.

Hospital Affiliations CMS Care Compare

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

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110082

Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30274 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

92.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 12

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

BHAT KRISHNA MOHAN MD

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