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KELLY D THOMPSON PA-C
NPI 1700201829
Physician Assistant in Woodbridge, VA

Active since February 26, 2014PECOS Enrolled
2296 OPITZ BLVD STE 230, WOODBRIDGE, VA 22191(703) 878-0924(703) 878-1037 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2019, May 10, 2017 (2 updates tracked since 2017).

About Kelly D Thompson Pa-c NPPES

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

KELLY D THOMPSON PA-C (NPI 1700201829) is an individual physician assistant in Woodbridge, Virginia, licensed in Virginia (0110004519) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700201829
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY D THOMPSONCredential: PA-C
Location Address2296 OPITZ BLVD STE 230Woodbridge, VA 22191-3345
Mailing Address2296 Opitz Blvd Ste 230Woodbridge, VA 22191-3345 · (703) 878-0924 · Fax (703) 878-1037
Phone(703) 878-0924
Fax(703) 878-1037
Sole ProprietorNo
Enumeration DateFebruary 26, 2014
Last NPPES UpdateNovember 14, 20192 updates tracked since enumeration
✔ NPI 1700201829 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 · 0110004519
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.
2296 OPITZ BLVD STE 230, Woodbridge, VA 22191
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Other Names 1

Former Name (1)Kelly D Kennedy Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly D Thompson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22191 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$906.34 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

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

DR. EVAN T DAVIES PH.D., PA-C
Physician Assistant (Surgical)
2296 OPITZ BLVD STE 230
WOODBRIDGE, VA 22191
Prince William County (703) 878-0924

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 Thompson's NPI number?

The NPI number for Kelly Thompson is 1700201829. It was assigned to this individual provider in the NPPES registry on February 26, 2014. The provider is also known as Kelly D Kennedy Pa-C.

Where is Kelly Thompson located?

Kelly Thompson practices at 2296 Opitz Blvd Ste 230, Woodbridge, VA 22191. The listed phone number is (703) 878-0924.

What is Kelly Thompson's specialty?

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

Is Kelly Thompson enrolled in Medicare?

Yes. Kelly Thompson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Thompson was last updated on November 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.