KELLY M LONDON (AGPCNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1376913178
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,359 NURSE PRACTITIONER in VA
Provider Addresses for KELLY M LONDON (AGPCNP, PMHNP)
6355 Walker Ln Ste 313
Alexandria, VA 223103258
Phone: (703) 313-9111
Fax: (703) 313-4945
Type: Location
4000 WILSON BLVD APT 1705
ARLINGTON, VA 222034414
Phone: (561) 703-4567
Type: Mailing
1145 19TH ST NW
WASHINGTON, DC 20036
Phone: (202) 835-2225
Type: Location
5408 DANVILLE ST
SPRINGFIELD, VA 221513821
Phone: (561) 703-4567
Type: Mailing
801 N QUINCY ST STE 601
ARLINGTON, VA 222031729
Phone: (410) 823-6408
Fax: (443) 279-0738
Type: Location
3523 S FOUR MILE RUN DR
ARLINGTON, VA 222062311
Phone: (561) 703-4567
Type: Mailing
110 IRVING ST NW
WASHINGTON, DC 200103017
Phone: (202) 877-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 235 Open Payments records for all available years, with a total value of $5,532.
Total Amount is formed as General ($5,532) + Research ($0) + Ownership ($0) = $5,532.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: ABBVIE INC. ($1,460).
Total Amount
$5,532
General + Research + Ownership
Payments
235
Total payment records
General Amount
$5,532
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,460 |
| Lilly USA, LLC | $618 |
| IMPEL PHARMACEUTICALS INC. | $232 |
| TG Therapeutics, Inc. | $195 |
| Axsome Therapeutics, Inc. | $178 |
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: 2020-05-07
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20200408002844 | I | Nurse Practitioner | DC | TBD |
| I20200505003268 | I | Nurse Practitioner | MD | TBD |
| I20200507000127 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22310)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MD | |
| Clinical Social Worker | DE | |
| P S Y C H I A T R Y | FL | |
| Physician Assistant | VA | |
| Mental Health Counselor | MD | |
| Physician Assistant | MD | |
| - | MD | |
| Clinical Social Worker | SC | |
| - | MD | |
| Nurse Practitioner | VA |
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