Individual provider Active NPI

Chloe Elaine Kellam, WHNP-BC

  • Women's Health Nurse Practitioner
  • Mechanicsville, VA
National Provider Identifier
1477249464
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024186899 Issued in VA
Practice address
8239 Meadowbridge Rd Ste a
Mechanicsville, VA 23116-2318
Phone
(757) 633-1582
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024186899 VA Primary

Addresses

Primary practice location

8239 Meadowbridge Rd Ste a
Mechanicsville, VA 23116-2318

Mailing address

11921 Carters Valley Ter
Chesterfield, VA 23838-3054

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231003004044 VA Practitioner - Nurse Practitioner 6103270558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dominion Women'S Health, Inc.Group PAC ID 1456327824, 12 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1051 Johnston Willis Dr
Suite 100
North Chesterfield, VA 23235-4871
Phone (804) 464-2453

12129 Graham Meadows Dr
Richmond, VA 23233-6661
Phone (804) 288-4084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024186899VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 24, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 24, 2025 Accepting new patients
Dominion Women'S Health, Inc. CurrentSince Sep 5, 2023 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

8239 Meadowbridge Rd
Ste A
Mechanicsvlle, VA 23116
Phone (804) 730-0800

1051 Johnston Willis Dr
Ste 100
North Chesterfield, VA 23235
Phone (804) 267-6931

12129 Graham Meadows Dr
Richmond, VA 23233

7611 Forest Ave
Ste 200
Richmond, VA 23229

7605 Forest Ave
Ste 404
Richmond, VA 23229
Phone (804) 282-9899

142 Smithfield Rd
St Stephns Ch, VA 23148
Phone (804) 769-0103

Interoperability endpoints

  • Direct secure messaging: chloe.kellam.1@8042.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1477249464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11921 CARTERS VALLEY TER",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238383054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8239 MEADOWBRIDGE RD STE A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162318",
            "telephone_number": "757-633-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAM",
        "first_name": "CHLOE",
        "middle_name": "ELAINE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024186899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.