Individual provider Active NPI

Kelli Miller Powell, FNP-C

  • Family Nurse Practitioner
  • Emporia, VA
National Provider Identifier
1619696390
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184948 Issued in VA
Practice address
511 Belfield Dr
Emporia, VA 23847-1217
Phone
(434) 348-4680
Fax
(434) 634-7117
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024184948 VA Primary

Addresses

Primary practice location

511 Belfield Dr
Emporia, VA 23847-1217

Mailing address

511 Belfield Dr
Emporia, VA 23847-1217
Phone (434) 348-4680

Other identifiers 1

IdentifierTypeStateIssuer
0024184948OtherVAVA BON

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Epic

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
I20221121002601 VA Practitioner - Nurse Practitioner 8628446713 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
Telehealth
Offers telehealth services
Group practices
Emporia Medical Associates PCGroup PAC ID 3173563632, 6 clinicians

Practice addresses (Care Compare)

6 Doctors Dr
Emporia, VA 23847-1240
Phone (434) 634-6101

Hospital & facility affiliations

  • Bon Secours Southern Virginia Medical Center Hospital, Emporia, VA, CCN 490097
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024184948VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emporia Medical Associates PC CurrentSince Jun 17, 2025 Accepting new patients
Bon Secours Medical Group Richmond Primary Care LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

6 Doctors Dr
Emporia, VA 23847
Phone (434) 336-1900

511 Belfield Dr
Emporia, VA 23847
Phone (434) 348-4680

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

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 2

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1619696390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BELFIELD DR",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238471217",
            "telephone_number": "434-348-4680",
            "fax_number": "434-634-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BELFIELD DR",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238471217",
            "telephone_number": "434-348-4680",
            "fax_number": "434-634-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KELLI",
        "middle_name": "MILLER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BON",
            "identifier": "0024184948",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "511 Belfield Dr",
            "city": "Emporia",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238471217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Emporia, VA

Sources for this page

Verify at the official NPI Registry.