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KELLEY M. ANDERSON NP
NPI 1790735272
Nurse Practitioner in Vienna, VA

Active since May 12, 2006PECOS Enrolled
130 PARK ST SE, #100, VIENNA, VA 22180(703) 591-1280(703) 591-1445 Get Directions Write a Review

NPPES record last updated: November 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley M. Anderson Np NPPES

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

KELLEY M. ANDERSON NP (NPI 1790735272) is an individual nurse practitioner in Vienna, Virginia, licensed in Virginia (0024165264) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790735272
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLEY M. ANDERSONCredential: NP
Location Address130 PARK ST SE, #100Vienna, VA 22180-4609
Mailing Address130 Park St Se, #100Vienna, VA 22180-4609 · (703) 591-1280 · Fax (703) 591-1445
Phone(703) 591-1280
Fax(703) 591-1445
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateNovember 10, 2009
✔ NPI 1790735272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024165264
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
130 PARK ST SE, Vienna, VA 22180
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINP09637VA
Medicare PIN017411T55VA
Medicare PIN004068T42DC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley M. Anderson Np 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 22180 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 2

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

CAREY M. MARDER M.D.
Internal Medicine (Cardiovascular Disease)
130 PARK ST SE, STE 100
VIENNA, VA 22180
Fairfax County (703) 281-1265
JENNIFER AUDIBERT NP
Nurse Practitioner
130 PARK ST SE, #100
VIENNA, VA 22180
Fairfax County (703) 591-1280

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 Kelley Anderson's NPI number?

The NPI number for Kelley Anderson is 1790735272. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Kelley Anderson located?

Kelley Anderson practices at 130 Park St SE #100, Vienna, VA 22180. The listed phone number is (703) 591-1280.

What is Kelley Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelley Anderson enrolled in Medicare?

Yes. Kelley Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelley Anderson was last updated on November 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.