KELLY JOHANNA VALENCIA MSN, FNP-BC, RN-BC
NPI 1649764846
Nurse Practitioner - Family in Morrisville, NC

Q: What is Kelly Valencia's NPI number?

The NPI number for Kelly Valencia is 1649764846. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Q: What is Kelly Valencia'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 Valencia was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 20, 2018PECOS EnrolledAccepts Medicare Assignment

5601 ARRINGDON PARK DR STE 240, MORRISVILLE, NC 27560(919) 681-5816 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Apr 4, 2023, Feb 18, 2019, Sep 5, 2018 and 1 more (4 updates tracked since 2018).

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About Kelly Johanna Valencia Msn, Fnp-bc, Rn-bc NPPES

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

KELLY JOHANNA VALENCIA MSN, FNP-BC, RN-BC (NPI 1649764846) is an individual family provider in Morrisville, North Carolina, licensed in North Carolina (5010640) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1649764846

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY JOHANNA VALENCIACredential: MSN, FNP-BC, RN-BC

Location Address5601 ARRINGDON PARK DR STE 240Morrisville, NC 27560-5676

Mailing Address5601 Arringdon Park Dr Ste 240Morrisville, NC 27560-5676

Phone(919) 681-5816

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 20, 2018

Last NPPES UpdateApril 4, 20234 updates tracked since enumeration

NPPES CertifiedApril 4, 2023

✔ NPI 1649764846 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 NC · 5010640

5601 ARRINGDON PARK DR STE 240, Morrisville, NC 27560

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Secondary Practice Location 1

Location 12301 Erwin Road Duke North Box # 3677Durham, NC 27710 · Phone (919) 681-5910

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Kelly Johanna Valencia Msn, Fnp-bc, Rn-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 ID941551568

PECOS Enrollment IDI20180920002639

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

371 services321 patients

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.

128 services124 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340155

Location3643 N Roxboro StreetDurham, NC 27704 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27560 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

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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

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

SIMONE VENNING AGNP

Nurse Practitioner

5601 ARRINGDON PARK DR STE 240
MORRISVILLE, NC 27560

Wake County (919) 997-3100

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 Valencia's NPI number?

The NPI number for Kelly Valencia is 1649764846. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Kelly Valencia located?

Kelly Valencia practices at 5601 Arringdon Park Dr Ste 240, Morrisville, NC 27560. The listed phone number is (919) 681-5816.

What is Kelly Valencia's specialty?

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

Is Kelly Valencia enrolled in Medicare?

Yes. Kelly Valencia 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 Valencia accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Kelly Valencia 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 Valencia affiliated with any hospitals?

According to CMS data, Kelly Valencia is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Valencia was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.