KELLY ANN BOTTA PA-C
NPI 1215259668
Physician Assistant in Winchester, VA

Active since February 25, 2010Opted out of Medicare · through Apr 1, 2028
340 N PLEASANT VALLEY RD, WINCHESTER, VA 22601(406) 926-1325(540) 900-0959 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2023, Feb 27, 2021, Feb 5, 2020 (3 updates tracked since 2020).

About Kelly Ann Botta Pa-c NPPES

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

KELLY ANN BOTTA PA-C (NPI 1215259668) is an individual physician assistant in Winchester, Virginia, licensed in Virginia (0110003257) and active in the NPI registry since February 2010. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1215259668
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY ANN BOTTACredential: PA-C
Location Address340 N PLEASANT VALLEY RDWinchester, VA 22601-5608
Mailing Address340 N Pleasant Valley Rd Po Box 4164Winchester, VA 22601 · (540) 692-6132 · Fax (540) 900-0959
Fax(540) 900-0959
Sole ProprietorNo
Enumeration DateFebruary 25, 2010
Last NPPES UpdateApril 14, 20233 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
NPI 1215259668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110003257
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0110003257 (VA)
340 N PLEASANT VALLEY RD, Winchester, VA 22601

Secondary Practice Locations 6

Location 1160 Merchant St Ste 200Winchester, VA 22603-4772 · Phone (540) 536-5950 · Fax (540) 536-5955
Location 265 Riverton Commons DrFront Royal, VA 22630-6768 · Phone (540) 635-0700 · Fax (540) 635-8174
Location 31840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000
Location 4415A South StFront Royal, VA 22630-2115 · Phone (540) 636-0495 · Fax (540) 636-0450
Location 533820 Old Valley Pike Ste 2Strasburg, VA 22657-3793 · Phone (540) 459-1310 · Fax (540) 459-1311
Location 6607 E Jubal Early DrWinchester, VA 22601-5178 · Phone (540) 536-2232 · Fax (540) 536-2205

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelly Ann Botta Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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

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

Case Management
340 N PLEASANT VALLEY RD
WINCHESTER, VA 22601

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 Botta's NPI number?

The NPI number for Kelly Botta is 1215259668. It was assigned to this individual provider in the NPPES registry on February 25, 2010.

Where is Kelly Botta located?

Kelly Botta practices at 340 N Pleasant Valley Rd, Winchester, VA 22601. The listed phone number is (406) 926-1325.

What is Kelly Botta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Botta enrolled in Medicare?

No. Kelly Botta has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kelly Botta accept?

Health plans from CareSource list Kelly Botta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Botta was last updated on April 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.