KELLY ANN MARTIC NP
NPI 1164068250
Nurse Practitioner - Family in Midlothian, VA

Q: What is Kelly Martic's NPI number?

The NPI number for Kelly Martic is 1164068250. It was assigned to this individual provider in the NPPES registry on November 23, 2019.

Q: What is Kelly Martic'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 Kelly Martic was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 November 23, 2019PECOS EnrolledAccepts Medicare Assignment

87.2/100

CMS Quality Rating

13551 WATERFORD PL, MIDLOTHIAN, VA 23112(804) 320-4243(804) 622-0552 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, May 25, 2022, Mar 12, 2022 and 1 more (4 updates tracked since 2019).

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About Kelly Ann Martic Np NPPES

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

KELLY ANN MARTIC NP (NPI 1164068250) is an individual family provider in Midlothian, Virginia, licensed in Virginia (0024178186) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164068250

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY ANN MARTICCredential: NP

Location Address13551 WATERFORD PLMidlothian, VA 23112-3929

Mailing Address1000 Boulders Pkwy Ste 102North Chesterfield, VA 23225-5515 · (804) 320-4243 · Fax (804) 622-0552

Phone(804) 320-4243

Fax(804) 622-0552

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 23, 2019

Last NPPES UpdateAugust 12, 20244 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1164068250 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 · 0024178186

13551 WATERFORD PL, Midlothian, VA 23112

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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

Kelly Ann Martic Np 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 ID143655449

PECOS Enrollment IDI20200114003620

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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

116 services114 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23112 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.

87.2/100

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

Scored as part of a group practice

Quality

76.74

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 5

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

CECILIA BERGH MD

Internal Medicine (Pulmonary Disease)