KELTSIE S. KELLUM FNP
NPI 1700185006
Nurse Practitioner - Family in Jacksonville, NC

Active since March 25, 2011PECOS EnrolledAccepts Medicare Assignment
81.84/100
CMS Quality Rating
317 WESTERN BLVD, JACKSONVILLE, NC 28546(910) 577-2240 Get Directions Write a Review

NPPES record last updated: March 25, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Keltsie S. Kellum Fnp NPPES

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

KELTSIE S. KELLUM FNP (NPI 1700185006) is an individual family provider in Jacksonville, North Carolina, licensed in North Carolina (500597) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1700185006
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELTSIE S. KELLUMCredential: FNP
Location Address317 WESTERN BLVDJacksonville, NC 28546-6338
Mailing Address307 S Evergreen AveWoodbury, NJ 08096-2739 · (856) 686-4317 · Fax (856) 848-8536
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 25, 2011
NPI 1700185006 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 · 500597
317 WESTERN BLVD, Jacksonville, NC 28546

Other Names 1

Former Name (1)Keltsie M. Spivey

Accepted 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

Keltsie S. Kellum Fnp 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 ID5799969390
PECOS Enrollment IDI20110406000141
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 5

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.
354 services147 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
234 services123 patients
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.
43 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 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.

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.

81.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Improvement Activities40
Cost64.6

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
317 WESTERN BLVD, DEPARTMENT OF PATHOLOGY
JACKSONVILLE, NC 28546
Social Worker (Clinical)
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Emergency Medicine
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Emergency Medicine
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Clinic/Center (Oncology, Radiation)
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Registered Nurse
317 WESTERN BLVD, ICU
JACKSONVILLE, NC 28546
Physician Assistant
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Nurse Practitioner (Acute Care)
317 WESTERN BLVD
JACKSONVILLE, NC 28546

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 Keltsie Kellum's NPI number?

The NPI number for Keltsie Kellum is 1700185006. It was assigned to this individual provider in the NPPES registry on March 25, 2011. The provider is also known as Keltsie M. Spivey.

Where is Keltsie Kellum located?

Keltsie Kellum practices at 317 Western Blvd, Jacksonville, NC 28546. The listed phone number is (910) 577-2240.

What is Keltsie Kellum's specialty?

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

Is Keltsie Kellum enrolled in Medicare?

Yes. Keltsie Kellum 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 Keltsie Kellum 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 Keltsie Kellum 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 Keltsie Kellum affiliated with any hospitals?

According to CMS data, Keltsie Kellum is affiliated with Onslow Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Keltsie Kellum was last updated on March 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.