KELLY FOOTEN FNP-C
NPI 1194580233
Nurse Practitioner - Pediatrics in Hagerstown, MD

Q: What is Kelly Footen's NPI number?

The NPI number for Kelly Footen is 1194580233. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Q: What is Kelly Footen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Footen was last updated on March 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 19, 2024PECOS Enrolled

1141 OPAL CT, HAGERSTOWN, MD 21740(301) 791-6666 Get Directions Write a Review

NPPES record last updated: March 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kelly Footen Fnp-c NPPES

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

KELLY FOOTEN FNP-C (NPI 1194580233) is an individual pediatrics provider in Hagerstown, Maryland, licensed in Maryland (R169068) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194580233

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKELLY FOOTENCredential: FNP-C

Location Address1141 OPAL CTHagerstown, MD 21740-5976

Mailing Address14555 Fairview Hill LnClear Spring, MD 21722-1249 · (301) 748-7341

Phone(301) 791-6666

Sole ProprietorYes

Enumeration DateFebruary 19, 2024

Last NPPES UpdateMarch 17, 2024

NPPES CertifiedMarch 17, 2024

✔ NPI 1194580233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MD · R169068

1141 OPAL CT, Hagerstown, MD 21740

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Footen Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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 4

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

KIRA HARTMAN CPNP-PC, RN

Nurse Practitioner (Pediatrics)

1141 OPAL CT
HAGERSTOWN, MD 21740

Washington County (301) 791-6666

ASHLEY JEAN DEMIRALI

Nurse Practitioner (Pediatrics)

1141 OPAL CT
HAGERSTOWN, MD 21740

Washington County (301) 791-6666

MRS. HEATHER S HALL PA-C

Physician Assistant

1141 OPAL CT
HAGERSTOWN, MD 21740

Washington County (301) 791-6666

POOJA MIRIAM WERNER MD

Pediatrics

1141 OPAL CT
HAGERSTOWN, MD 21740

Washington County (301) 791-6666

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 Footen's NPI number?

The NPI number for Kelly Footen is 1194580233. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Where is Kelly Footen located?

Kelly Footen practices at 1141 Opal Ct, Hagerstown, MD 21740. The listed phone number is (301) 791-6666.

What is Kelly Footen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelly Footen enrolled in Medicare?

Yes. Kelly Footen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Footen was last updated on March 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.