MRS. TRACY ANN KELLY (PA) – Physician Assistant, NPI 1194949388
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for MRS. TRACY ANN KELLY (PA)
3000 SW 148TH AVE
SUITE 200
MIRAMAR, FL 330274169
Phone: (703) 244-9469
Type: Mailing
1975 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 234560167
Phone: (757) 321-3300
Fax: (757) 321-3330
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $478.
Total Amount is formed as General ($478) + Research ($0) + Ownership ($0) = $478.
Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Endo Pharmaceuticals Inc. ($234).
Total Amount
$478
General + Research + Ownership
Payments
10
Total payment records
General Amount
$478
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endo Pharmaceuticals Inc. | $234 |
| Endo USA, Inc. | $113 |
| Solventum Corporation | $74 |
| Heron Therapeutics, Inc. | $57 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-06-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190619002136 | I | Physician Assistant | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 348 | 77 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 74 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 66 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 56 | 38 | $0 |
| 73140 | X-ray of finger, minimum of 2 views | 40 | 30 | $0 |
Insurance plans in this area (ZIP 33027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| Hand Surgery, Orthopedic Surgery | VA | |
| Physician Assistant | VA | |
| Orthopedic Surgery | IA | |
| Hand Surgery, Orthopedic Surgery | VA | |
| - | VA | |
| Physical Therapist In Private Practice | VA | |
| Physician Assistant | NJ | |
| - | VA |
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