Monica Mamina Kelly-Coleman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024175590 Issued in VA

Practice address

247 W Kings Hwy
Eden, NC 27288-5009

Phone

(336) 637-8329

Fax

(336) 450-4358

NPI assigned

Dec 11, 2017

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

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of PortsmouthGroup PAC ID 9032173877, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkellycoleman@tapmedicine.gwaydirect.com

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.

• City of Portsmouth

  • Community/Behavioral Health Agency
  • Portsmouth, VA
  • NPI 1093891699
  Medicare reassignment Care Compare group NPD
• Piedmont Access to Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1649240698
  Medicare reassignment NPD
• Victorious Wellness, PLLC

  • Primary Care Clinic/Center
  • Danville, VA
  • NPI 1205589017
  NPD Authorized official
• New Hope Solutions & Wellness Center

  • Community/Behavioral Health Agency
  • Eden, NC
  • NPI 1447892088
  NPD
• Piedmont Access to Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Chatham, VA
  • NPI 1558545269
  NPD

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1558876706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HUNTINGTON PL",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414512",
            "telephone_number": "757-729-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 W KINGS HWY",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885009",
            "telephone_number": "336-637-8329",
            "fax_number": "336-450-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 S Main St",
            "address_purpose": "LOCATION",
            "city": "Chatham",
            "state": "VA",
            "postal_code": "245315436",
            "country_code": "US",
            "telephone_number": "434-432-4443",
            "fax_number": "434-432-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY-COLEMAN",
        "first_name": "MONICA",
        "middle_name": "MAMINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Alexander Johnson, DPT
• Mark Saunders Jordan, M.D.
• Michael Rufus Joyce, DPM
• Kamran Hameed, D.M.D., P.a.
• Nathan R Kelley, PT, DPT
• Jay Kelly, OTL
• Kernodles Family Care No-1
• Roy Robert Keys, MD
• Laura Khorozov, M.A.,CCC-SLP
• Anne B King, M.D.

• Family Nurse Practitioner in Eden, NC
• Providers in Eden, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.