KELLY MCDANIEL NP-C
NPI 1275158164
Nurse Practitioner - Family in Lebanon, VA
About Kelly Mcdaniel Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MCDANIEL NP-C (NPI 1275158164) is an individual family provider in Lebanon, Virginia, licensed in Tennessee (27768) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Kelly Mcdaniel Np-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Mcdaniel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kingsport, TN 37660
- Reassigned Medicare billing, Tennessee enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24266 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mcdaniel's NPI number?
The NPI number for Kelly Mcdaniel is 1275158164. It was assigned to this individual provider in the NPPES registry on June 16, 2020.
Where is Kelly Mcdaniel located?
Kelly Mcdaniel practices at 288 Rolling Meadows Rd, Lebanon, VA 24266. The listed phone number is (276) 608-4114.
What is Kelly Mcdaniel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Mcdaniel enrolled in Medicare?
Yes. Kelly Mcdaniel 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.
Which organization bills Medicare for Kelly Mcdaniel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mcdaniel reassigns Medicare benefits to Dermatology Associates, P.C. (Kingsport, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Mcdaniel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Mcdaniel accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Kelly Mcdaniel 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 Mcdaniel was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kelly Mcdaniel, NP-C · NPI 1275158164
Family physician in Lebanon, Virginia. Individual provider, active in the CMS NPPES registry since June 16, 2020.
## Identity
- **NPI:** 1275158164 (Entity type: Individual)
- **Enumerated:** June 16, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 27768 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 288 ROLLING MEADOWS RD, Lebanon, VA 24266-5870
- **Phone:** (276) 608-4114
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dermatology Associates, P.C. (NPI 1487695862, Kingsport, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lincoln Memorial University Medical Department, class of 2020
## Record status
- **NPPES last updated:** June 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1275158164) · Data from the CMS NPPES public registry.