MRS. KELLY CHRISTINA ROBERTSON MSN, FNP-BC
NPI 1194298448
Nurse Practitioner - Family in Fairfax, VA

Active since January 09, 2019PECOS EnrolledAccepts Medicare Assignment
3801 UNIVERSITY DR, FAIRFAX, VA 22030(703) 383-8130(703) 383-7350 Get Directions Write a Review

NPPES record last updated: April 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2023, Jan 26, 2021, Dec 28, 2020 and 1 more (4 updates tracked since 2019).

About Mrs. Kelly Christina Robertson Msn, Fnp-bc NPPES

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

MRS. KELLY CHRISTINA ROBERTSON MSN, FNP-BC (NPI 1194298448) is an individual family provider in Fairfax, Virginia, licensed in Virginia (0024180381) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension Saint Thomas Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194298448
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY CHRISTINA ROBERTSONCredential: MSN, FNP-BC
Location Address3801 UNIVERSITY DRFairfax, VA 22030-2503
Mailing Address3801 University DrFairfax, VA 22030-2503 · (703) 383-8130 · Fax (703) 383-7350
Fax(703) 383-7350
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 9, 2019
Last NPPES UpdateApril 16, 20234 updates tracked since enumeration
NPPES CertifiedApril 16, 2023
NPI 1194298448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024180381
Also ListedRegistered NurseTaxonomy 163W00000X · License RN0000205462 (TN)
3801 UNIVERSITY DR, Fairfax, VA 22030

Other Names 1

Former Name (1)Kelly Christina Donaldson

Secondary Practice Locations 2

Location 146165 Westlake Dr Ste 120Potomac Falls, VA 20165-5872 · Phone (703) 444-3302
Location 22200 Childrens WayNashville, TN 37232-2635 · Phone (615) 936-4008

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. Kelly Christina Robertson Msn, 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 ID6608289111
PECOS Enrollment IDI20201230000663, I20220614003354, I20251211000002
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 5

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
111 services88 patients
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.
85 services69 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 9

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

Audiologist
3801 UNIVERSITY DR, 2ND FLOOR
FAIRFAX, VA 22030
Audiologist
3801 UNIVERSITY DR, SUITE 200
FAIRFAX, VA 22030
Clinic/Center (Radiology)
3801 UNIVERSITY DR, STE 120
FAIRFAX, VA 22030
Otolaryngology (Pediatric Otolaryngology)
3801 UNIVERSITY DR
FAIRFAX, VA 22030
Otolaryngology
3801 UNIVERSITY DR
FAIRFAX, VA 22030
Otolaryngology
3801 UNIVERSITY DR, SUITE 200
FAIRFAX, VA 22030
Hearing Aid Equipment
3801 UNIVERSITY DR, SUITE 200
FAIRFAX, VA 22030
Audiologist
3801 UNIVERSITY DR, SUITE 200
FAIRFAX, VA 22030

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 Robertson's NPI number?

The NPI number for Kelly Robertson is 1194298448. It was assigned to this individual provider in the NPPES registry on January 9, 2019. The provider is also known as Kelly Christina Donaldson.

Where is Kelly Robertson located?

Kelly Robertson practices at 3801 University Dr, Fairfax, VA 22030. The listed phone number is (703) 383-8130.

What is Kelly Robertson's specialty?

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

Is Kelly Robertson enrolled in Medicare?

Yes. Kelly Robertson 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.

Is Kelly Robertson affiliated with any hospitals?

According to CMS data, Kelly Robertson is affiliated with Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Robertson was last updated on April 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.