KELLY ANN MARTIC (NP) – Family Nurse Practitioner, NPI 1164068250
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for KELLY ANN MARTIC (NP)
2302 ROSEWOOD AVE
RICHMOND, VA 232205717
Phone: (203) 313-5871
Type: Mailing
120 KINGS WAY STE 3100
WILLIAMSBURG, VA 231852506
Phone: (757) 345-5724
Type: Location
221 E HUNDRED RD
CHESTER, VA 238362613
Phone: (203) 313-5871
Type: Mailing
1000 BOULDERS PKWY STE 102
NORTH CHESTERFIELD, VA 232255515
Phone: (804) 320-4243
Fax: (804) 622-0552
Type: Mailing
13551 WATERFORD PL
MIDLOTHIAN, VA 231123929
Phone: (804) 320-4243
Fax: (804) 622-0552
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $570.
Total Amount is formed as General ($570) + Research ($0) + Ownership ($0) = $570.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($274).
Total Amount
$570
General + Research + Ownership
Payments
26
Total payment records
General Amount
$570
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-01-14
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 |
|---|---|---|---|---|
| I20200114003620 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 12 | 12 | $0 |
Insurance plans in this area (ZIP 23220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Pulmonary Disease, Critical Care (Intensivists) | VA | |
| Physician Assistant | VA | |
| Pulmonary Disease, Critical Care (Intensivists) | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | WV | |
| Pulmonary Disease | VA | |
| Physician Assistant | PA | |
| Physician Assistant | VA |
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