DR. KATINA KELLY PSYD
NPI 1306041595
Psychologist in Jonesville, VA
About Dr. Katina Kelly Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATINA KELLY PSYD (NPI 1306041595) is an individual psychologist in Jonesville, Virginia, licensed in Virginia (0810007806) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Grange, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Katina Kelly Psyd 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 Katina Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78240
- Reassigned Medicare billing, Virginia enrollment
- 29 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 4
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.
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 Katina Kelly's NPI number?
The NPI number for Katina Kelly is 1306041595. It was assigned to this individual provider in the NPPES registry on June 18, 2007.
Where is Katina Kelly located?
Katina Kelly practices at 1010 Cedar Hill Church Rd, Jonesville, VA 24263. The listed phone number is (507) 226-5759.
What is Katina Kelly's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Katina Kelly enrolled in Medicare?
Yes. Katina Kelly 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 Katina Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katina Kelly reassigns Medicare benefits to Deer Oaks Southeast LLC (San Antonio, TX). 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 Katina Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katina Kelly was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.