MRS. KELLY LYNNE MATHERLY APRN, FNP-BC
NPI 1164822987
Nurse Practitioner - Family in Beckley, WV

Q: What is Kelly Matherly's NPI number?

The NPI number for Kelly Matherly is 1164822987. It was assigned to this individual provider in the NPPES registry on August 28, 2014.

Q: What is Kelly Matherly'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 Matherly was last updated on January 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 28, 2014PECOS EnrolledAccepts Medicare Assignment

379 STANAFORD RD, BECKLEY, WV 25801(304) 253-3000(304) 255-7884 Get Directions Write a Review

NPPES record last updated: January 28, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mrs. Kelly Lynne Matherly Aprn, Fnp-bc NPPES

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

MRS. KELLY LYNNE MATHERLY APRN, FNP-BC (NPI 1164822987) is an individual family provider in Beckley, West Virginia, licensed in West Virginia (APRN61813NP) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Jc Edwards School Of Medicine, Marshall University (2014).

NPPES Registry Identity

NPI1164822987

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KELLY LYNNE MATHERLYCredential: APRN, FNP-BC

Location Address379 STANAFORD RDBeckley, WV 25801-3141

Mailing Address379 Stanaford RdBeckley, WV 25801-3141 · (304) 253-3000 · Fax (304) 255-7884

Phone(304) 253-3000

Fax(304) 255-7884

Sole ProprietorNo

Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2014

Enumeration DateAugust 28, 2014

Last NPPES UpdateJanuary 28, 2018

✔ NPI 1164822987 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 WV · APRN61813NP

379 STANAFORD RD, Beckley, WV 25801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Mrs. Kelly Lynne Matherly Aprn, Fnp-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 ID7618298126

PECOS Enrollment IDI20150609003030

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 Reassignments

Medicare enrollment records show Kelly Matherly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anchor Medical LLC

2.8 mi

Nurse Practitioner

106 LOCKHEED DR
Beaver, WV 25813

Reassigned Medicare billing, West Virginia enrollment
6 clinicians in this Medicare group

NPI 1114342243 (304) 253-5155

Adf Behavioral Health Services, LLC

12 mi

Community/Behavioral Health

240 CENTRAL AVE
Oak Hill, WV 25901

Reassigned Medicare billing, West Virginia enrollment
4 clinicians in this Medicare group

NPI 1568154615 (681) 823-4257

Generations Health & Wellness, LLC

12 mi

Multi-Specialty

240 CENTRAL AVE
Oak Hill, WV 25901

Reassigned Medicare billing, West Virginia enrollment
5 clinicians in this Medicare group

NPI 1295495984 (304) 673-8314

Healthpath Medical & Psychiatric Care LLC

45 mi

Psychiatric/Mental Health

400 PATTERSON LN
Charleston, WV 25311

Reassigned Medicare billing, West Virginia enrollment
8 clinicians in this Medicare group

NPI 1609645670 (304) 952-3696

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25801 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

31%32 patients2/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

15%68 patients1/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

9%22 patients1/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%4,076 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

78%356 patients4/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

95%21 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

47%263 patients2/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

33%263 patients2/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

0%263 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

19%263 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

DR. AHMAD ETER MD

Internal Medicine (Nephrology)