KELLY HUNDLEY – Physician Assistant, NPI 1710486907
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $121 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180416000189 | I | Physician Assistant | 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 23233)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| General Surgery | VA | |
| - | VA | |
| - | VA | |
| Cardiac Surgery | VA | |
| - | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| - | VA | |
| Hospice/Palliative Care | VA | |
| Nurse Practitioner | VA | |
| Gastroenterology, Internal Medicine | VA |
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