Susan Carol Kiley, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0024178218 Issued in VA

Practice address

300 E Main St Ste 200
Charlottesville, VA 22902-5219

Phone

(434) 933-3318

Fax

(972) 646-9162

NPI assigned

Aug 16, 2021

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Health and Wellness Medical Services LLCGroup PAC ID 2668702770, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Interim Healthcare - Charlottesville Home health agency, Charlottesville, VA, CCN 497447
• Medi Home Hospice Hospice, Charlottesville, VA, CCN 491579
• Hospice of the Piedmont Inc Hospice, Charlottesville, VA, CCN 491504
• University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009
• Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Health and Wellness Medical Services LLC

  • Family Nurse Practitioner
  • Charlottesville, VA
  • NPI 1801440409

  VA

  Medicare reassignment Care Compare group NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group

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

• Haslup Enterprises, LTD.

  • Home Health Agency
  • Charlottesville, VA
  • NPI 1225068190
  Care Compare affiliation
• Hospice of the Piedmont, Inc.

  • Community Based Hospice Care Agency
  • Charlottesville, VA
  • NPI 1184719171

  Hospice

  Care Compare affiliation
• Martha Jefferson Hospital

  • General Acute Care Hospital
  • Charlottesville, VA
  • NPI 1346248663

  Hospital

  Care Compare affiliation
• Medi Home Health Agency, Inc

  • Community Based Hospice Care Agency
  • Charlottesville, VA
  • NPI 1962454769

  Hospice

  Care Compare affiliation
• Rector & Visitors of the University of Virginia

  • General Acute Care Hospital
  • Charlottesville, VA
  • NPI 1780630608

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1821763442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 CLOVER RIDGE CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229019214",
            "telephone_number": "434-823-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST STE 200",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025219",
            "telephone_number": "434-933-3318",
            "fax_number": "972-646-9162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "The Laurels, 1165 Pepsi Place",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "22901",
            "country_code": "US",
            "telephone_number": "434-951-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILEY",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024178218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kidney, PNP-PC, MSN, RN, CNL
• Jaime Michelle Kiff, MD
• Rebecca S. Kightlinger
• Sarah K. Kilbourne, M.D.
• Yndeiah Kilby
• Brooke S Kilfoil, MD
• Alison Jean Kim, MD
• Dalynn Andreea Kim, MD
• Faith Jihyun Kim
• Heeho Kim, M.D.

• Gerontology Nurse Practitioner in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Gerontology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.