Individual provider Active NPI

Victoria L Kell, CNP

  • Primary Care Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1386856649
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
005001019 Issued in NC
Practice address
200 Doctors Dr Ste F
Jacksonville, NC 28546-6308
Phone
(910) 353-1499
Fax
(910) 355-0404
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 005001019 NC Primary

Addresses

Primary practice location

200 Doctors Dr Ste F
Jacksonville, NC 28546-6308

Mailing address

200 Doctors Dr Ste F
Jacksonville, NC 28546-6308
Phone (910) 353-1499

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kell.Victoria.002.0330068@KEME.meditab.direct-ci.com Health Information Exchange (HIE) Kell Medical PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20141213000113 NC Practitioner - Nurse Practitioner 2860550555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kell Medical PAGroup PAC ID 5496813180, 2 clinicians

Practice addresses (Care Compare)

200 Doctors Dr
Suite F
Jacksonville, NC 28546-6308
Phone (910) 353-1499

Hospital & facility affiliations

  • Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
005001019NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kell Medical PA CurrentSince Jul 25, 2008 Accepting new patients
Carolina Women'S Health Pavilion, PA Past Accepting new patients

Locations

200 Doctors Dr
Ste F
Jacksonville, NC 28546
Phone (910) 353-1499

Interoperability endpoints

  • Direct secure messaging: kell.victoria.002.0330068@keme.meditab.direct-ci.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1386856649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DOCTORS DR STE F",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466308",
            "telephone_number": "910-353-1499",
            "fax_number": "910-355-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DOCTORS DR STE F",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466308",
            "telephone_number": "910-353-1499",
            "fax_number": "910-355-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELL",
        "first_name": "VICTORIA",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "005001019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kell.Victoria.002.0330068@KEME.meditab.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Kell Medical PA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "200 Doctors Dr Ste F",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285466308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.