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KARLIE KELLSTROM PA
NPI 1649912072
Physician Assistant in Mechanicsville, VA

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment
7571 COLD HARBOR RD, MECHANICSVILLE, VA 23111(703) 965-4325 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karlie Kellstrom Pa NPPES

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

KARLIE KELLSTROM PA (NPI 1649912072) is an individual physician assistant in Mechanicsville, Virginia, licensed in Virginia (0110008566) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Bon Secours Richmond Community Hospital, and maintains a secondary practice location in North Chesterfield.

NPPES Registry Identity

NPI1649912072
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKARLIE KELLSTROMCredential: PA
Location Address7571 COLD HARBOR RDMechanicsville, VA 23111-1631
Mailing Address7571 Cold Harbor RdMechanicsville, VA 23111-1631 · (804) 746-9055
Phone(703) 965-4325
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 7, 2022
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1649912072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110008566
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7571 COLD HARBOR RD, Mechanicsville, VA 23111
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Secondary Practice Location 1

Location 18110 Midlothian TpkeNorth Chesterfield, VA 23235-5116 · Phone (804) 320-8160

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

Karlie Kellstrom Pa 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 ID2961867742
PECOS Enrollment IDI20230501000900
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.

Hospital Affiliations CMS Care Compare

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

Bon Secours Richmond Community Hospital

Acute Care Hospitals · Richmond, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490094
Location1500 N. 28th StreetRichmond, VA 23223 · Richmond City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23111 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
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 10

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

DR. KEVIN J SAHLI M.D.
Family Medicine
7571 COLD HARBOR RD
MECHANICSVILLE, VA 23111
Hanover County (804) 746-9055
BLASIA N. FRANKLIN NP
Nurse Practitioner (Family)
7571 COLD HARBOR RD
MECHANICSVILLE, VA 23111
Hanover County (804) 746-9055
MR. CONNER SCHMITZ FNP-C
Nurse Practitioner (Family)
7571 COLD HARBOR RD
MECHANICSVILLE, VA 23111
Hanover County (804) 746-9055
MECHANICSVILLE MEDICAL CENTER FAMILY PHYSICIANS, P.L.L.C.
Family Medicine
7571 COLD HARBOR RD
MECHANICSVILLE, VA 23111
Hanover County (804) 746-9055
AMANDA CAPLES
Physician Assistant
7571 COLD HARBOR RD
MECHANICSVILLE, VA 23111
Hanover County (804) 746-9055
DR. KENNETH M HEATWOLE M.D.
Family Medicine
7571 COLD HARBOR RD
MECHANICSVILLE, VA 23111
Hanover County (804) 746-9055
DR. JOHN F CORNETT M.D.
Family Medicine
7571 COLD HARBOR RD
MECHANICSVILLE, VA 23111
Hanover County (804) 746-9055
DR. IAN S SHUPACK M.D.
Family Medicine
7571 COLD HARBOR RD
MECHANICSVILLE, VA 23111
Hanover County (804) 746-9055

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 Karlie Kellstrom's NPI number?

The NPI number for Karlie Kellstrom is 1649912072. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Karlie Kellstrom located?

Karlie Kellstrom practices at 7571 Cold Harbor Rd, Mechanicsville, VA 23111. The listed phone number is (703) 965-4325.

What is Karlie Kellstrom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Karlie Kellstrom enrolled in Medicare?

Yes. Karlie Kellstrom 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.

Is Karlie Kellstrom affiliated with any hospitals?

According to CMS data, Karlie Kellstrom is affiliated with Bon Secours Richmond Community Hospital.

When was this NPI record last updated?

The NPPES record for Karlie Kellstrom was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.