NPIMap

Individual provider Active NPI

Kelly J Maupin, NP

  • Family Nurse Practitioner
  • Mechanicsville, VA
National Provider Identifier
1861410086
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165803 Issued in VA
Practice address
8220 Meadowbridge Rd Ste 203
Mechanicsville, VA 23116-2339
Phone
(804) 764-2200
NPI assigned
Jul 17, 2006
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 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 0024165803 VA Primary

Addresses

Primary practice location

8220 Meadowbridge Rd Ste 203
Mechanicsville, VA 23116-2339

Mailing address

155 Riverbend Dr
Charlottesville, VA 22911-8607
Phone (434) 295-0184

Other practice location 1

416 Albemarle Sq
Charlottesville, VA 22901-7400
Phone (434) 978-2126

Other practice location 2

155 Riverbend Dr
Charlottesville, VA 22911-8607
Phone (434) 295-0184

Other names 1

  • Kelly J Pritchard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000671 VA Practitioner - Nurse Practitioner 1951393941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8220 Meadowbridge Rd
Mechanicsville, VA 23116-2339
Phone (804) 226-2444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024165803VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince Mar 25, 2025 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC CurrentSince Mar 25, 2025 Accepting new patients
Urological Associates, LTD CurrentSince Apr 4, 2022 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Current Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Past Accepting new patients

Locations

155 Riverbend Dr
Charlottesvle, VA 22911
Phone (434) 295-0184

8220 Meadowbridge Rd
Ste 203
Mechanicsvlle, VA 23116
Phone (804) 226-2444

Interoperability endpoints

  • Direct secure messaging: kelly.maupin@620407976427524.direct.elationemr.com
  • Direct secure messaging: kmaupin2785964@direct.bsmhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1861410086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 RIVERBEND DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118607",
            "telephone_number": "434-295-0184",
            "fax_number": "434-295-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 MEADOWBRIDGE RD STE 203",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162339",
            "telephone_number": "804-764-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 Albemarle Sq",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229017400",
            "country_code": "US",
            "telephone_number": "434-978-2126",
            "fax_number": "434-973-4452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229118607",
            "country_code": "US",
            "telephone_number": "434-295-0184",
            "fax_number": "434-295-2463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUPIN",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "PRITCHARD",
            "middle_name": "J",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.