KELLY ANNA PETROHOVICH (PA-C) – Physician Assistant, NPI 1982295861
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KELLY ANNA PETROHOVICH (PA-C)
2151 Old Brick Rd
Glen Allen, VA 230605837
Phone: (804) 727-6800
Type: Location
411 W RANDOLPH RD
HOPEWELL, VA 238602938
Phone: (804) 541-1600
Type: Location
12900 FOX MEADOW DR
HENRICO, VA 232332297
Phone: (804) 399-1108
Type: Mailing
2151 OLD BRICK RD
GLEN ALLEN, VA 230605837
Phone: (804) 727-6800
Type: Location
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: 2023-08-14
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 |
|---|---|---|---|---|
| I20230814004205 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 31 | 31 | $0 |
Insurance plans in this area (ZIP 23060)
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