Kelly Ann Martic, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024178186 Issued in VA

Practice address

13551 Waterford PL
Midlothian, VA 23112-3929

Phone

(804) 320-4243

Fax

(804) 622-0552

NPI assigned

Nov 23, 2019

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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 IncGroup PAC ID 8123095577, 49 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.36 of 100Reported as group

Quality

78.67

Improvement activities

40

Cost

83.65

Merit-based Incentive Payment System (MIPS)

Final score

84.54 of 100Reported as group

Quality

71.96

Promoting interoperability

99

Improvement activities

40

Cost

77.33

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kellymartic@par.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pulmonary Associates of Richmond Inc

  • Specialist
  • Richmond, VA
  • NPI 1144253444
  Medicare reassignment Care Compare group NPD
• Dysphagia Management Systems, LLC

  • Hearing and Speech Clinic/Center
  • Sarasota, FL
  • NPI 1194196592
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1164068250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOULDERS PKWY STE 102",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255515",
            "telephone_number": "804-320-4243",
            "fax_number": "804-622-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13551 WATERFORD PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123929",
            "telephone_number": "804-320-4243",
            "fax_number": "804-622-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIC",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-23",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellymartic@par.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "13551 Waterford Pl",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231123929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Kathleen O'Toole Marshall, M.D.
• Julia Marshall
• Rachel Marsiglio, MS, RD, CDE, CEDRD
• Jason Marsili
• Andrew Ronald Martey, M.D.
• Martin Chiropractic Inc
• Andrew Martin, PHARMD
• Berkeley B Martin, MD
• Crystal Jilnea Martin, PTA
• Jeffrey Lloyd Martin, D.C.

• Family Nurse Practitioner in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.