HOLLY KRISTEN KELLETT (FNP-C) – Nurse Practitioner, NPI 1649558826

HOLLY KRISTEN KELLETT (FNP-C) is a healthcare provider. based in Harrisonburg, Virginia. specializing in Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. 0024169578 (VA). The NPI Number for HOLLY KRISTEN KELLETT (FNP-C) is 1649558826

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY KRISTEN KELLETT (FNP-C)
NPI
1649558826
Phone
(540) 564-5800
Address
1871 EVELYN BYRD AVE
Enumeration Date
22 July 2011
Last Update Date
19 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5405645800
Graduation Year
2011 (15 years ago)
PAC ID
5496927865
Group Practice PAC ID
7618270729
Professional Enrollment ID
I20111006000414
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for HOLLY KRISTEN KELLETT (FNP-C)

  • 1871 EVELYN BYRD AVE

    HARRISONBURG, VA 228013487

    Phone: (540) 564-5800

    Fax: (540) 564-5801

    Mailing address matches the actual address.

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: 2011-10-06

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
I20111006000414INurse PractitionerVATBD

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 22801)

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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: 7618270729View full group profile
NameSpecialtyState
General SurgeryVA
Hospitalist, Internal MedicineVA
Vascular Surgery, General SurgeryVA
-VA
General SurgeryVA
Family PracticeVA
-VA
-VA
-OH
General SurgeryVA

Reviews

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Frequently asked questions

Can I use this page to confirm HOLLY KRISTEN KELLETT (FNP-C)'s NPI?
Yes. HOLLY KRISTEN KELLETT (FNP-C) is listed with NPI 1649558826 in the public NPI dataset.
Is HOLLY KRISTEN KELLETT (FNP-C) still practicing?
HOLLY KRISTEN KELLETT (FNP-C) is currently listed as active in the public NPI registry.
What is HOLLY KRISTEN KELLETT (FNP-C) best known for clinically?
Directory data describes HOLLY KRISTEN KELLETT (FNP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is HOLLY KRISTEN KELLETT (FNP-C) based?
HOLLY KRISTEN KELLETT (FNP-C) is tied to Harrisonburg, Virginia in the data we show; additional addresses may exist on the full record.
Why does HOLLY KRISTEN KELLETT (FNP-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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