1. Home
  2. Directory
  3. Virginia
  4. Fort Belvoir
  5. Physician Assistant
  6. NPI Profile

MR. KEITH STEPHEN PERNELL PA
NPI 1841956778
Physician Assistant in Fort Belvoir, VA

Active since November 15, 2021PECOS Enrolled
81.28/100
CMS Quality Rating
9300 DEWITT LOOP, FORT BELVOIR, VA 22060(571) 231-1868 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 4, 2024, Jan 16, 2022, Dec 30, 2021 and 1 more (4 updates tracked since 2021).

About Mr. Keith Stephen Pernell Pa NPPES

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

MR. KEITH STEPHEN PERNELL PA (NPI 1841956778) is an individual physician assistant in Fort Belvoir, Virginia, licensed in Virginia (0110007956) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841956778
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KEITH STEPHEN PERNELLCredential: PA
Location Address9300 DEWITT LOOPFort Belvoir, VA 22060-5285
Mailing Address42427 Ibex DrSterling, VA 20166-2234 · (808) 375-7717
Phone(571) 231-1868
Sole ProprietorNo
Enumeration DateNovember 15, 2021
Last NPPES UpdateJanuary 4, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1841956778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in VA · 0110007956✔ Licensed in DC · PA20001279
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.
9300 DEWITT LOOP, Fort Belvoir, VA 22060
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Keith Stephen Pernell Pa 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 22060 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
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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.

DR. ASHLEY L MALTEZ-LAURIENTI PSY.D.
Counselor (Mental Health)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (712) 313-2245
MEGAN ANNE KELLY COTA
Occupational Therapy Assistant
9300 DEWITT LOOP
FT BELVOIR, VA 22060
Fairfax County (571) 231-1321
MS. SHANNON NOELLE FULCROD LCSW, CSAC, MAC
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-1200
CALE WRIGHT PSYD
Psychologist (Clinical Child & Adolescent)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-0524
SPENCER OSBOURN
Psychiatry & Neurology (Neurology)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-2966
HEATHER R BARAL
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-3224
UMAR KHAN
Orthopaedic Surgery
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-3224
DAVID PITTS JR. DO
General Practice
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-1803

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 Keith Pernell's NPI number?

The NPI number for Keith Pernell is 1841956778. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Where is Keith Pernell located?

Keith Pernell practices at 9300 Dewitt Loop, Fort Belvoir, VA 22060. The listed phone number is (571) 231-1868.

What is Keith Pernell's specialty?

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

Is Keith Pernell enrolled in Medicare?

Yes. Keith Pernell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keith Pernell was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.