Jeremy Glen Kellems, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024170856 Issued in VA

Practice address

3600 Mountain Rd
Glen Allen, VA 23060-1930

Phone

(804) 672-8725

NPI assigned

Jun 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Melodys Consulting LLCGroup PAC ID 5092053694, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Welcome Homecare Home health agency, Richmond, VA, CCN 497455

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Melodys Consulting LLC

  • Family Nurse Practitioner
  • Chester, VA
  • NPI 1528538873

  DC

  Medicare reassignment Care Compare group NPD
• SNF LTC Partners of Virginia

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1982231148
  Medicare reassignment NPD

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

• Abby Home Health Care Inc

  dba Welcome Homecare

  • Home Health Agency
  • Richmond, VA
  • NPI 1851471981
  Care Compare affiliation

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1558709584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 N GAYTON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337017",
            "telephone_number": "804-432-4133",
            "fax_number": "804-213-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MOUNTAIN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230601930",
            "telephone_number": "804-672-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEMS",
        "first_name": "JEREMY",
        "middle_name": "GLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001209239",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0017141048",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Elizabeth Kazelskis
• Andrew Keam, MD
• Jeffrey Robert Keith Jr., PHARMD
• Robert Ryan Kell, PHARMD
• Kellems Geriatric Healthcare
• Leslie Kelley, FNP
• Meara Kelley
• Kelly Griffith Speech Therapy Services LLC
• Hannah Marshall Kenney
• Sybil Kettle, RBT

• Family Nurse Practitioner in Glen Allen, VA
• Providers in Glen Allen, 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 Jul 16, 2020; 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.