Individual provider Active NPI

Kelly Jeanne Hengler, P.A.

  • Medical Physician Assistant
  • Franklin, VA
National Provider Identifier
1992940522
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110-004802 Issued in VA
Practice address
118 Fairview Dr Ste F
Franklin, VA 23851
Phone
(757) 562-4196
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0110004802 VA
Internal Medicine Physician 207R00000X 0110004802 VA
Medical Physician Assistant 363AM0700X 0110-004802 VA Primary

Addresses

Primary practice location

118 Fairview Dr Ste F
Franklin, VA 23851

Mailing address

118 Fairview Dr Ste F
Franklin, VA 23851-1250
Phone (757) 562-4196

Other practice location 1

118 Fairview Dr Ste F
Franklin, VA 23851
Phone (757) 562-4196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110004802VAMDInternal Medicine Physician
0110-004802VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Valley Healthcare Partners, LLC Family Medicine PastSince May 4, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1992940522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 FAIRVIEW DR STE F",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511250",
            "telephone_number": "757-562-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 FAIRVIEW DR STE F",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "23851",
            "telephone_number": "757-562-4196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Fairview Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "VA",
            "postal_code": "23851",
            "country_code": "US",
            "telephone_number": "757-562-4196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENGLER",
        "first_name": "KELLY",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0110004802",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0110004802",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-004802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.