DR. KELLY MARIE VAN FOSSEN D.O.
NPI 1396957429
Surgery in Fayetteville, NC

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
4140 FERNCREEK DR STE 601, FAYETTEVILLE, NC 28314(910) 485-3880(910) 615-9618 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2026, Jul 8, 2025 (2 updates tracked since 2025).

About Dr. Kelly Marie Van Fossen D.o. NPPES

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

DR. KELLY MARIE VAN FOSSEN D.O. (NPI 1396957429) is an individual surgery provider in Fayetteville, North Carolina, licensed in North Carolina (2009-00374) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2004).

NPPES Registry Identity

NPI1396957429
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. KELLY MARIE VAN FOSSENCredential: D.O.
Location Address4140 FERNCREEK DR STE 601Fayetteville, NC 28314-2569
Mailing Address4140 Ferncreek Dr Ste 601Fayetteville, NC 28314-2569 · (910) 485-3880 · Fax (910) 485-5341
Fax(910) 615-9618
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2004
Enumeration DateMay 3, 2007
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1396957429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NC · 2009-00374
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4140 FERNCREEK DR STE 601, Fayetteville, NC 28314

Accepted Insurance

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

Dr. Kelly Marie Van Fossen D.o. 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 ID2668525148
PECOS Enrollment IDI20090730000565
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
101 services44 patients
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.
87 services53 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
64 services63 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.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28314 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 7

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

Physician Assistant
4140 FERNCREEK DR STE 601
FAYETTEVILLE, NC 28314
Surgery
4140 FERNCREEK DR STE 601
FAYETTEVILLE, NC 28314
Nurse Practitioner (Acute Care)
4140 FERNCREEK DR STE 601
FAYETTEVILLE, NC 28314
Surgery
4140 FERNCREEK DR STE 601
FAYETTEVILLE, NC 28314
Surgery
4140 FERNCREEK DR STE 601
FAYETTEVILLE, NC 28314
Surgery
4140 FERNCREEK DR STE 601
FAYETTEVILLE, NC 28314
Surgery
4140 FERNCREEK DR STE 601
FAYETTEVILLE, NC 28314

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 Van Fossen's NPI number?

The NPI number for Kelly Van Fossen is 1396957429. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Kelly Van Fossen located?

Kelly Van Fossen practices at 4140 Ferncreek Dr Ste 601, Fayetteville, NC 28314. The listed phone number is (910) 485-3880.

What is Kelly Van Fossen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kelly Van Fossen enrolled in Medicare?

Yes. Kelly Van Fossen 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.

What insurance does Kelly Van Fossen accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Kelly Van Fossen 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.

Is Kelly Van Fossen affiliated with any hospitals?

According to CMS data, Kelly Van Fossen is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Van Fossen was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.