KELLI DANIELLE WILLINGHAM FNP
NPI 1306523014
Nurse Practitioner - Family in Leesburg, VA

Active since July 04, 2023PECOS EnrolledAccepts Medicare Assignment
19490 SANDRIDGE WAY, SUITE 230, LEESBURG, VA 20176(703) 858-5885 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2024, Oct 18, 2023, Jul 4, 2023 (3 updates tracked since 2023).

About Kelli Danielle Willingham Fnp NPPES

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

KELLI DANIELLE WILLINGHAM FNP (NPI 1306523014) is an individual family provider in Leesburg, Virginia, licensed in Virginia (F07230133) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2023).

NPPES Registry Identity

NPI1306523014
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLI DANIELLE WILLINGHAMCredential: FNP
Location Address19490 SANDRIDGE WAY, SUITE 230Leesburg, VA 20176-3467
Mailing Address224d Cornwall St NwLeesburg, VA 20176-2713
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2023
Enumeration DateJuly 4, 2023
Last NPPES UpdateAugust 21, 20253 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
NPI 1306523014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · F07230133
19490 SANDRIDGE WAY, SUITE 230, Leesburg, VA 20176

Other Names 1

Former Name (1)Kelli Danille Svatek

Other Identifiers 2

Medicaid30017669790001VA
Medicaid1306523014VA

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

Kelli Danielle Willingham Fnp 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 ID3779947924
PECOS Enrollment IDI20250815004200
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.

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.
188 services129 patients
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.
91 services72 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.
88 services88 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.
21 services21 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 5

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

Audiologist
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Otolaryngology
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Physician Assistant
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Audiologist
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176
Otolaryngology
19490 SANDRIDGE WAY, SUITE 230
LEESBURG, VA 20176

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 Kelli Willingham's NPI number?

The NPI number for Kelli Willingham is 1306523014. It was assigned to this individual provider in the NPPES registry on July 4, 2023. The provider is also known as Kelli Danille Svatek.

Where is Kelli Willingham located?

Kelli Willingham practices at 19490 Sandridge Way, Suite 230, Leesburg, VA 20176. The listed phone number is (703) 858-5885.

What is Kelli Willingham's specialty?

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

Is Kelli Willingham enrolled in Medicare?

Yes. Kelli Willingham 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.

When was this NPI record last updated?

The NPPES record for Kelli Willingham was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.