KELLY NICOLE STEPHENS (FNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053953919

KELLY NICOLE STEPHENS (FNP, PMHNP) is a healthcare provider. based in Caret, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP, PMHNP. They hold a License No. 0024178294 (VA). The NPI Number for KELLY NICOLE STEPHENS (FNP, PMHNP) is 1053953919

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
KELLY NICOLE STEPHENS (FNP, PMHNP)
NPI
1053953919
Phone
(540) 273-3740
Address
PO BOX 28
Enumeration Date
11 October 2019
Last Update Date
30 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5403710079195
Graduation Year
2019 (7 years ago)
PAC ID
2163857327
Group Practice PAC ID
3577566066
Professional Enrollment ID
I20200115002639
Address ID
VA224081949FR4501XCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for KELLY NICOLE STEPHENS (FNP, PMHNP)

  • PO BOX 28

    CARET, VA 224360028

    Phone: (540) 273-3740

    Type: Mailing

  • 4501 Empire Ct

    Fredericksburg, VA 224081949

    Phone: (540) 371-0079

    Type: Location

  • Stafford Hospital, 101, Hospital Center Boulevard, Stafford, Stafford County, Virginia, 22554, United States

    STAFFORD, VA 225546200

    Phone: (540) 741-1100

    Type: Location

  • 17094 FERRY DOCK RD

    KING GEORGE, VA 224856101

    Phone: (540) 413-1509

    Fax: (540) 675-4326

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $427.

Total Amount is formed as General ($427) + Research ($0) + Ownership ($0) = $427.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($208).

Total Amount

$427

General + Research + Ownership

Payments

25

Total payment records

General Amount

$427

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-01-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200115002639INurse PractitionerVATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7774$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5643$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3025$0
View full utilization report →

Insurance plans in this area (ZIP 22436)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577566066View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YTX
Physician AssistantVA
-VA
H E M A T O L O G Y/ O N C O L O G YMD
H E M A T O L O G Y/ O N C O L O G YVA
Physician AssistantOH
-VA
-VA
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for KELLY NICOLE STEPHENS (FNP, PMHNP)?
KELLY NICOLE STEPHENS (FNP, PMHNP) — NPI 1053953919 — is the standard way to identify this listing.
Does CMS list KELLY NICOLE STEPHENS (FNP, PMHNP) as active?
Yes — KELLY NICOLE STEPHENS (FNP, PMHNP) is active in the NPI listing used on this page.
What healthcare role does KELLY NICOLE STEPHENS (FNP, PMHNP) hold?
Scheduling teams often label KELLY NICOLE STEPHENS (FNP, PMHNP) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for KELLY NICOLE STEPHENS (FNP, PMHNP)?
KELLY NICOLE STEPHENS (FNP, PMHNP)'s geographic hint is Caret, Virginia in our summary view.
Is the information about KELLY NICOLE STEPHENS (FNP, PMHNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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