Kelly Ann Martic, NP
Individual provider Active NPI Family Nurse Practitioner · Midlothian, VA
NPI 1164068250 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1164068250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024178186 (VA)
- Practice address
- 13551 Waterford PL
Midlothian, VA 23112-3929 - Phone
- (804) 320-4243
- Fax
- (804) 622-0552
- NPI assigned
- Nov 23, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pulmonary Associates of Richmond Inc
Practice addresses (Care Compare)
13551 Waterford PL
Midlothian, VA 23112-3929
Phone (804) 320-4243
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 78.67
- Improvement activities
- 40
- Cost
- 83.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.54 of 100
- Quality
- 71.96
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.33
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200114003620 | VA | Practitioner - Nurse Practitioner | 0143655449 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024178186 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Associates of Richmond Inc | Current |
Accepting new patients | |
| Dysphagia Management Systems, LLC | Current |
Accepting new patients |
Locations
13551 Waterford Pl
Ste 102
Midlothian, VA 23112
2354 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 288-6261
13551 Waterford Pl
Midlothian, VA 23112
1000 Boulders Pkwy
Ste 102
North Chesterfield, VA 23225
Phone (804) 591-3134
6600 W Broad St
Ste 300
Richmond, VA 23230
Phone (804) 591-3134
Interoperability endpoints
- kellymartic@par.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024178186 | VA | Yes |
Addresses
Primary practice location
13551 Waterford PL
Midlothian, VA 23112-3929
Mailing address
1000 Boulders Pkwy Ste 102
North Chesterfield, VA 23225-5515
Phone (804) 320-4243
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kellymartic@par.allscriptsdirect.net |
Other providers in Midlothian, VA
- Amy Kathleen O'Toole Marshall
- Julia Marshall
- Rachel Marsiglio
- Jason Marsili
- Andrew Ronald Martey
- Martin Chiropractic Inc
- Andrew Martin
- Berkeley B Martin
- Crystal Jilnea Martin
- Jeffrey Lloyd Martin
All providers in Midlothian, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.