KELLY O'CONNELL PNP
NPI 1508312612
Nurse Practitioner - Pediatrics in Charlottesville, VA

Q: What is Kelly O'connell's NPI number?

The NPI number for Kelly O'connell is 1508312612. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Q: What is Kelly O'connell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly O'connell was last updated on August 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 29, 2016PECOS Enrolled

1204 W MAIN ST, 5TH FLOOR, CHARLOTTESVILLE, VA 22903(800) 362-2203(434) 243-5204 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Kelly O'connell Pnp NPPES

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

KELLY O'CONNELL PNP (NPI 1508312612) is an individual pediatrics provider in Charlottesville, Virginia, licensed in Virginia (0024173788) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508312612

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKELLY O'CONNELLCredential: PNP

Location Address1204 W MAIN ST, 5TH FLOORCharlottesville, VA 22903-2824

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007

Phone(800) 362-2203

Fax(434) 243-5204

Sole ProprietorNo

Enumeration DateAugust 29, 2016

✔ NPI 1508312612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in VA · 0024173788

1204 W MAIN ST, Charlottesville, VA 22903

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly O'connell Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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.

Leave this field empty