JEREMY GLEN KELLEMS NP
NPI 1558709584
Nurse Practitioner - Family in Glen Allen, VA

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment
3600 MOUNTAIN RD, GLEN ALLEN, VA 23060(804) 672-8725 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2020, May 2, 2019, Jan 29, 2016 (3 updates tracked since 2016).

About Jeremy Glen Kellems Np NPPES

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

JEREMY GLEN KELLEMS NP (NPI 1558709584) is an individual family provider in Glen Allen, Virginia, licensed in Virginia (0024170856) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1558709584
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEREMY GLEN KELLEMSCredential: NP
Location Address3600 MOUNTAIN RDGlen Allen, VA 23060-1930
Mailing Address13700 N Gayton RdRichmond, VA 23233-7017 · (804) 432-4133 · Fax (804) 213-9783
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 12, 2013
Last NPPES UpdateJuly 16, 20203 updates tracked since enumeration
NPPES CertifiedJuly 16, 2020
NPI 1558709584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in VA · 0024170856 Licensed in VA · 0017141048
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001209239 (VA)
3600 MOUNTAIN RD, Glen Allen, VA 23060

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

Jeremy Glen Kellems Np 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 ID1153562764
PECOS Enrollment IDI20130724000632, I20240130000463
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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
887 services164 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
208 services73 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
40 services40 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
19 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23060 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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%130 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims21 services$14.14 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$64.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
3600 MOUNTAIN RD
GLEN ALLEN, VA 23060
Speech-Language Pathologist
3600 MOUNTAIN RD
GLEN ALLEN, VA 23060
Physical Medicine & Rehabilitation
3600 MOUNTAIN RD
GLEN ALLEN, VA 23060

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 Jeremy Kellems's NPI number?

The NPI number for Jeremy Kellems is 1558709584. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Jeremy Kellems located?

Jeremy Kellems practices at 3600 Mountain Rd, Glen Allen, VA 23060. The listed phone number is (804) 672-8725.

What is Jeremy Kellems's specialty?

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

Is Jeremy Kellems enrolled in Medicare?

Yes. Jeremy Kellems 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 Jeremy Kellems was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.