KIMMALA SHETEF ROUNDTREE (FNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1205210788
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for KIMMALA SHETEF ROUNDTREE (FNP-BC)
6204 BERNARD AVE
ALEXANDRIA, VA 223102707
Phone: (703) 216-1812
Type: Mailing
7450 Albert Rd Fl 3
Brandywine, MD 206133035
Phone: (301) 888-2233
Fax: (301) 997-1489
Type: Location
1727 KING ST STE 3
ALEXANDRIA, VA 223142700
Phone: (571) 695-2386
Fax: (571) 695-2252
Type: Mailing
6164 FULLER COURT SUITE #2
ALEXANDRIA, VA 22310
Phone: (703) 901-4434
Fax: (703) 924-7044
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Hikma Pharmaceuticals USA ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hikma Pharmaceuticals USA | $21 |
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: 2016-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20150904001562 | I | Nurse Practitioner | DC | TBD |
| I20150904002052 | I | Nurse Practitioner | MD | TBD |
| I20160805000980 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 11 | $0 |
Insurance plans in this area (ZIP 22310)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MD | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | DC | |
| Family Practice | MD | |
| Nurse Practitioner | MD | |
| Mental Health Counselor | MD | |
| - | DC | |
| Nurse Practitioner | MD |
Reviews
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