MRS. KELLY JONES SCHMIDT PMHNP
NPI 1396577680
Nurse Practitioner - Psychiatric/Mental Health in Petersburg, VA

Active since August 15, 2024PECOS Enrolled
269 MEDICAL PARK BLVD, PETERSBURG, VA 23805(804) 861-0700 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Kelly Jones Schmidt Pmhnp NPPES

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

MRS. KELLY JONES SCHMIDT PMHNP (NPI 1396577680) is an individual psychiatric/mental health provider in Petersburg, Virginia, licensed in Virginia (0024190992) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396577680
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. KELLY JONES SCHMIDTCredential: PMHNP
Location Address269 MEDICAL PARK BLVDPetersburg, VA 23805-9337
Mailing Address269 Medical Park BlvdPetersburg, VA 23805-9337 · (804) 861-0700
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1396577680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024190992
269 MEDICAL PARK BLVD, Petersburg, VA 23805

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Jones Schmidt Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173058260
PECOS Enrollment IDI20241126003359
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 Kelly Schmidt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
269 MEDICAL PARK BLVD
Petersburg, VA 23805
  • Reassigned Medicare billing, Virginia enrollment
  • 56 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23805 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 14

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Psychologist
269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Social Worker (Clinical)
269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Nurse Practitioner (Psychiatric/Mental Health)
269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Psychiatry & Neurology (Child & Adolescent Psychiatry)
269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Social Worker (Clinical)
269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Counselor (Mental Health)
269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Psychiatry & Neurology (Psychiatry)
269 MEDICAL PARK BLVD
PETERSBURG, VA 23805

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 Schmidt's NPI number?

The NPI number for Kelly Schmidt is 1396577680. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Where is Kelly Schmidt located?

Kelly Schmidt practices at 269 Medical Park Blvd, Petersburg, VA 23805. The listed phone number is (804) 861-0700.

What is Kelly Schmidt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Schmidt enrolled in Medicare?

Yes. Kelly Schmidt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Schmidt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Schmidt reassigns Medicare benefits to Virginia South Psychiatric & Family Services (Petersburg, 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 Kelly Schmidt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Schmidt accept?

Health plans from Oscar Health list Kelly Schmidt 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 Schmidt was last updated on August 15, 2024. 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.