KELLY CRUM (PA-C) – Physician Assistant, NPI 1104368521
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for KELLY CRUM (PA-C)
5000 COX RD
GLEN ALLEN, VA 230609263
Phone: (804) 968-5700
Type: Mailing
1411 S COLLEGEVILLE RD
COLLEGEVILLE, PA 194262957
Phone: (484) 902-1893
Type: Location
5 Bel Air South Pkwy
Suite 1535
Bel Air, MD 210156091
Phone: (410) 569-2441
Type: Location
Navy Federal Credit Union, 5, Bel Air South Parkway, Emmorton, Harford County, Maryland, 21015, United States
SUITE 1535
BEL AIR, MD 210156091
Phone: (410) 569-2441
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-10-03
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 |
|---|---|---|---|---|
| I20171003004367 | I | Physician Assistant | PA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 47 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 15 | 15 | $0 |
| 71046 | X-ray of chest, 2 views | 14 | 14 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 12 | 12 | $0 |
Insurance plans in this area (ZIP 23060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Physician Assistant | NJ | |
| Physician Assistant | VA | |
| - | GA | |
| - | VA | |
| Family Practice | MD | |
| Physician Assistant | NJ | |
| Physician Assistant | VA | |
| Physician Assistant | PA | |
| - | PA |
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