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MRS. KELLI LYN MACADAM CNM
NPI 1366924193
Advanced Practice Midwife in Newport News, VA

Active since August 29, 2018PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
12200 WARWICK BLVD STE 510, NEWPORT NEWS, VA 23601(757) 534-5700(757) 534-5730 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2023, Aug 29, 2018 (2 updates tracked since 2018).

About Mrs. Kelli Lyn Macadam Cnm NPPES

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

MRS. KELLI LYN MACADAM CNM (NPI 1366924193) is an individual advanced practice midwife in Newport News, Virginia, licensed in Virginia (0024176652) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366924193
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMRS. KELLI LYN MACADAMCredential: CNM
Location Address12200 WARWICK BLVD STE 510Newport News, VA 23601-2548
Mailing Address856 J Clyde Morris Blvd Ste ANewport News, VA 23601-1318 · (757) 316-5800 · Fax (757) 534-5190
Phone(757) 534-5700
Fax(757) 534-5730
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 29, 2018
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1366924193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in VA · 0024176652
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedMidwifeTaxonomy 176B00000X · License 0001231620 (VA)
12200 WARWICK BLVD STE 510, Newport News, VA 23601
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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

Mrs. Kelli Lyn Macadam Cnm 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 ID2163776147
PECOS Enrollment IDI20181109000794
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelli Macadam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverside Physician Services, Inc.
0.1 mi
Emergency Medicine
500 J CLYDE MORRIS BLVD
Newport News, VA 23601
  • Reassigned Medicare billing, Virginia enrollment
  • 1,097 clinicians in this Medicare group
NPI 1487771655 (757) 594-4006

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 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.

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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

CHANTEL RENEE BUFFALOW NP
Nurse Practitioner (Women's Health)
12200 WARWICK BLVD STE 510
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5700
CHERYL L SHARP WHNP, CNM
Nurse Practitioner (Women's Health)
12200 WARWICK BLVD STE 510
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5700

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 Macadam's NPI number?

The NPI number for Kelli Macadam is 1366924193. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Kelli Macadam located?

Kelli Macadam practices at 12200 Warwick Blvd Ste 510, Newport News, VA 23601. The listed phone number is (757) 534-5700.

What is Kelli Macadam's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Kelli Macadam enrolled in Medicare?

Yes. Kelli Macadam 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 Kelli Macadam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Macadam reassigns Medicare benefits to Riverside Physician Services, Inc. (Newport News, VA). 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 Kelli Macadam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelli Macadam affiliated with any hospitals?

According to CMS data, Kelli Macadam is affiliated with Riverside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelli Macadam was last updated on November 8, 2023. 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.