KELLY ANN BOTTA (PA-C) – Physician Assistant, NPI 1215259668

KELLY ANN BOTTA (PA-C) is a healthcare provider. based in Winchester, Virginia. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 0110003257 (VA). The NPI Number for KELLY ANN BOTTA (PA-C) is 1215259668

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KELLY ANN BOTTA (PA-C)
NPI
1215259668
Phone
(540) 692-6132
Address
340 N PLEASANT VALLEY RD PO BOX 4164
Enumeration Date
25 February 2010
Last Update Date
14 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5405362232
Graduation Year
2005 (21 years ago)
PAC ID
3476682709
Group Practice PAC ID
0446164495
Professional Enrollment ID
I20100525001083

Contacts

Secure Messaging
kbotta124183@soc.inova.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

Provider Addresses for KELLY ANN BOTTA (PA-C)

  • 340 N PLEASANT VALLEY RD PO BOX 4164

    WINCHESTER, VA 22601

    Phone: (540) 692-6132

    Fax: (540) 900-0959

    Type: Mailing

  • 1840 Amherst St

    Winchester, VA 226012808

    Phone: (540) 536-8000

    Type: Location

  • 415A South St

    Front Royal, VA 226302115

    Phone: (540) 636-0495

    Fax: (540) 636-0450

    Type: Location

  • 33820 Old Valley Pike Ste 2

    Strasburg, VA 226573793

    Phone: (540) 459-1310

    Fax: (540) 459-1311

    Type: Location

  • 100, Campus Boulevard, Winchester, Frederick County, Virginia, 22601, United States

    WINCHESTER, VA 226012888

    Phone: (540) 536-5100

    Fax: (540) 536-0235

    Type: Mailing

  • 160 Merchant St Ste 200

    Winchester, VA 226034772

    Phone: (540) 536-5950

    Fax: (540) 536-5955

    Type: Location

  • 65 Riverton Commons Dr

    Front Royal, VA 226306768

    Phone: (540) 635-0700

    Fax: (540) 635-8174

    Type: Location

  • 607 E Jubal Early Dr

    Winchester, VA 226015178

    Phone: (540) 536-2232

    Fax: (540) 536-2205

    Type: Location

  • 340 N PLEASANT VALLEY RD

    WINCHESTER, VA 226015608

    Phone: (406) 926-1325

    Fax: (540) 900-0959

    Type: Location

  • 160 MERCHANT ST STE 200

    WINCHESTER, VA 226034772

    Phone: (540) 536-5950

    Fax: (540) 536-5955

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $392.

Total Amount is formed as General ($392) + Research ($0) + Ownership ($0) = $392.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Amgen Inc. ($252).

Total Amount

$392

General + Research + Ownership

Payments

4

Total payment records

General Amount

$392

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 22601)

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Provider's Procedures

KELLY ANN BOTTA (PA-C) performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTVA81002Urinalysis, manual test5642

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: 0446164495View full group profile
NameSpecialtyState
Physician AssistantVA
Nurse PractitionerWV
Nurse PractitionerVA
Emergency MedicineNC
Nurse PractitionerVA
Nurse PractitionerWV
Nurse PractitionerVA
-VA
Family PracticeVA
-VA

Reviews

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Frequently asked questions

Is KELLY ANN BOTTA (PA-C) listed with a National Provider Identifier?
Yes — KELLY ANN BOTTA (PA-C) has NPI 1215259668 on file in the registry.
Is there an active status for KELLY ANN BOTTA (PA-C)?
For scheduling context, KELLY ANN BOTTA (PA-C) is shown as active in the registry.
What expertise is attributed to KELLY ANN BOTTA (PA-C)?
KELLY ANN BOTTA (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KELLY ANN BOTTA (PA-C) associated with Winchester?
Public fields place KELLY ANN BOTTA (PA-C) around Winchester, Virginia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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