Kelly Anna Petrohovich, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

411 W Randolph Rd
Hopewell, VA 23860-2938

Phone

(804) 541-1600

NPI assigned

Feb 2, 2021

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

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.

• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593

  VA

  Medicare reassignment
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  VA

  Medicare reassignment

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1982295861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 FOX MEADOW DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232332297",
            "telephone_number": "804-399-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W RANDOLPH RD",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602938",
            "telephone_number": "804-541-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 Old Brick Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230605837",
            "country_code": "US",
            "telephone_number": "804-727-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETROHOVICH",
        "first_name": "KELLY",
        "middle_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Paz, COTA
• Peer Recovery of Virginia, Inc.
• Francis Perera, M.D.
• Jennifer Haga Perry, MS, OTR/L
• Eugene A Petrasy, DDS
• Cathy Phillips, RN, MSN, APN-BC, CEN
• Piedmonte, LLC
• Pioneer Home Health, Inc.
• Tara Burton Portee, LCSW
• Precise Care Transportation, Inc.

• Physician Assistant in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.