KELLY SPENCER FNP-BC
NPI 1639870652
Nurse Practitioner - Family in Ashburn, VA

Q: What is Kelly Spencer's NPI number?

The NPI number for Kelly Spencer is 1639870652. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Q: What is Kelly Spencer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Spencer was last updated on March 6, 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.

Active since March 16, 2023PECOS EnrolledAccepts Medicare Assignment

21035 SYCOLIN ROAD, SUITE 180, ASHBURN, VA 20147(703) 783-5673(703) 297-3919 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2024, Dec 13, 2023, Apr 7, 2023 and 1 more (4 updates tracked since 2023).

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About Kelly Spencer Fnp-bc NPPES

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

KELLY SPENCER FNP-BC (NPI 1639870652) is an individual family provider in Ashburn, Virginia, licensed in Virginia (0024186610) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639870652

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY SPENCERCredential: FNP-BC

Location Address21035 SYCOLIN ROAD, SUITE 180Ashburn, VA 20147-4311

Mailing Address224d Cornwall Street, Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6001 · Fax (703) 443-8346

Phone(703) 783-5673

Fax(703) 297-3919

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 16, 2023

Last NPPES UpdateMarch 6, 20244 updates tracked since enumeration

NPPES CertifiedMarch 6, 2024

✔ NPI 1639870652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024186610

21035 SYCOLIN ROAD, SUITE 180, Ashburn, VA 20147

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Other Identifiers 2

Medicaid30017597090001VA

Medicaid1639870652VA

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

Kelly Spencer Fnp-bc 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 ID5799150017

PECOS Enrollment IDI20230418002156, I20240517000895

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

109 services32 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

56 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20147 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 4

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

LOUDOUN MEDICAL GROUP, PC

Family Medicine (Obesity Medicine)

21035 SYCOLIN ROAD, SUITE 180
ASHBURN, VA 20147

Loudoun County (703) 783-5673

JANET PERROTTA NP

Nurse Practitioner (Family)

21035 SYCOLIN ROAD, SUITE 180
ASHBURN, VA 20147

Loudoun County (703) 783-5673

SHREYA MATHUR

Nurse Practitioner (Acute Care)

21035 SYCOLIN ROAD, SUITE 180
ASHBURN, VA 20147

Loudoun County (703) 783-5673

TRUPTI PATEL M.D.

Family Medicine

21035 SYCOLIN ROAD, SUITE 180
ASHBURN, VA 20147

Loudoun County (703) 783-5673

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 Spencer's NPI number?

The NPI number for Kelly Spencer is 1639870652. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Where is Kelly Spencer located?

Kelly Spencer practices at 21035 Sycolin Road, Suite 180, Ashburn, VA 20147. The listed phone number is (703) 783-5673.

What is Kelly Spencer's specialty?

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

Is Kelly Spencer enrolled in Medicare?

Yes. Kelly Spencer 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 Kelly Spencer was last updated on March 6, 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.