KELLY HUNDLEY – Physician Assistant, NPI 1710486907

KELLY HUNDLEY is a healthcare provider. based in Richmond, Virginia. specializing in PHYSICIAN ASSISTANT. They hold a License No. 0110-006069 (VA). The NPI Number for KELLY HUNDLEY is 1710486907

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KELLY HUNDLEY
NPI
1710486907
Phone
(508) 212-3141
Address
11213 FOX MEADOW DR
Enumeration Date
2 February 2018
Last Update Date
23 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8047646000
Graduation Year
2017 (9 years ago)
PAC ID
9739442203
Group Practice PAC ID
8022440056
Professional Enrollment ID
I20180416000189
Address ID
VA232261907RI5801XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for KELLY HUNDLEY

  • 11213 FOX MEADOW DR

    RICHMOND, VA 232332218

    Phone: (508) 212-3141

    Type: Mailing

  • 1501 Maple Ave Ste 200

    Richmond, VA 232262553

    Phone: (508) 212-3141

    Type: Location

  • 5801 Bremo Rd

    Richmond, VA 232261907

    Phone: (804) 285-2011

    Type: Location

  • 15511 ST HWY 71 W STE 110

    BEE CAVE, TX 787382825

    Phone: (508) 212-3141

    Fax: (512) 957-8537

    Type: Location

  • 2233 MONUMENT AVE APT 4

    RICHMOND, VA 232202728

    Phone: (508) 212-3141

    Type: Mailing

  • 200, Maple Avenue, Westhampton, Richmond, Richmond City, Virginia, 23226, United States

    RICHMOND, VA 232262553

    Phone: (508) 212-3141

    Type: Location

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 $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($121).

Total Amount

$121

General + Research + Ownership

Payments

1

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-04-16

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
I20180416000189IPhysician AssistantVATBD

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 23233)

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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: 8022440056View full group profile
NameSpecialtyState
General SurgeryVA
-VA
-VA
Cardiac SurgeryVA
-VA
O B S T E T R I C S/ G Y N E C O L O G YVA
-VA
Hospice/Palliative CareVA
Nurse PractitionerVA
Gastroenterology, Internal MedicineVA

Reviews

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Frequently asked questions

What identifier follows KELLY HUNDLEY across health systems?
The NPI 1710486907 uniquely identifies KELLY HUNDLEY in U.S. healthcare data.
Quick check: is KELLY HUNDLEY active?
Public NPPES data shows KELLY HUNDLEY with an active NPI status right now.
What does the directory say KELLY HUNDLEY does?
Insurance directories may phrase it differently, but here KELLY HUNDLEY maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit KELLY HUNDLEY in Richmond, Virginia?
For routing, start with Richmond, Virginia for KELLY HUNDLEY, then verify phone and hours locally.
Who maintains KELLY HUNDLEY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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