KELSEY PAINTER – Clinical Social Worker, NPI 1124835582

KELSEY PAINTER is a healthcare provider. based in Roanoke, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 0904017771 (VA). The NPI Number for KELSEY PAINTER is 1124835582

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY PAINTER
NPI
1124835582
Phone
(540) 266-9200
Address
301 ELM AVE SW
Enumeration Date
18 December 2024
Last Update Date
18 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5402669200
Graduation Year
2021 (5 years ago)
PAC ID
5092245944
Group Practice PAC ID
6709831522
Professional Enrollment ID
I20250207002178
Address ID
VA240161225RO611XXNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for KELSEY PAINTER

  • 301 ELM AVE SW

    ROANOKE, VA 240164001

    Phone: (540) 266-9200

    Type: Mailing

  • 611 MCDOWELL AVE NW

    ROANOKE, VA 240161225

    Phone: (540) 266-9200

    Type: Location

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: 2025-02-07

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
I20250207002178IClinical Social WorkerVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24016)

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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: 6709831522View full group profile
NameSpecialtyState
Mental Health CounselorVA
Nurse PractitionerVA
Clinical Social WorkerVA
Mental Health CounselorVA
P S Y C H I A T R YVA
Mental Health CounselorVA
Geriatric PsychiatryVA
Nurse PractitionerVA
-VA
Mental Health CounselorNC

Reviews

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Frequently asked questions

What unique ID ties claims to KELSEY PAINTER?
NPI 1124835582 is assigned to KELSEY PAINTER under the national enumeration system.
Is KELSEY PAINTER's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KELSEY PAINTER work in?
You can think of KELSEY PAINTER as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELSEY PAINTER?
The page summarizes Roanoke, Virginia for KELSEY PAINTER; expand the address list for detail.
How can I contact KELSEY PAINTER?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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