Kelly Nicole Stephens, FNP, PMHNP - Medicare Nurse Practitioner in King George, VA

  1. Home
  2. Nurse Practitioner
  3. VA
  4. King George
Kelly Nicole Stephens, FNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in King George, Virginia. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hematology-oncology Associates Of Fredericksburg Inc and her current practice location is 17094 Ferry Dock Rd, King George, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 413-1509.

Kelly Nicole Stephens is licensed to practice in Virginia (license number 0024178294) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053953919.

Contact Information

Kelly Nicole Stephens, FNP, PMHNP
17094 Ferry Dock Rd,
King George, VA 22485-6101
(540) 413-1509
(540) 675-4326

Map and Direction




Provider's Profile

Full NameKelly Nicole Stephens
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location17094 Ferry Dock Rd, King George, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Nicole Stephens graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1053953919
  • Provider Enumeration Date: 10/11/2019
  • Last Update Date: 12/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2163857327
  • Enrollment ID: I20200115002639

Medical Identifiers

Medical identifiers for Kelly Nicole Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053953919NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024178294 (Virginia)Primary
363LF0000XNurse Practitioner - Family 0024178294 (Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mary Washington HospitalFredericksburg, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hematology-oncology Associates Of Fredericksburg Inc357756606611

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Nicole Stephens allows following entities to bill medicare on her behalf.
Entity NameHematology-oncology Associates Of Fredericksburg Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952331829
PECOS PAC ID: 3577566066
Enrollment ID: O20060823000443
Entity NameMary Washington Healthcare Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750826277
PECOS PAC ID: 1456629369
Enrollment ID: O20170619001149

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Nicole Stephens is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Nicole Stephens, FNP, PMHNP
17094 Ferry Dock Rd,
King George, VA 22485-6101

Ph: (540) 413-1509		Kelly Nicole Stephens, FNP, PMHNP
17094 Ferry Dock Rd,
King George, VA 22485-6101

Ph: (540) 413-1509

Reviews and Comments


Nurse Practitioner Nurses in King George, VA

Jennifer Schermerhorn,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 15521 Real Estate Ave, King George, VA 22485
Phone: 361-563-4065    
Sara Ortu,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11458 Kings Hwy, King George, VA 22485
Phone: 866-389-2727    Fax: 401-652-9787
Keesha Dawn Lloyd, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11131 Journal Pkwy, King George, VA 22485
Phone: 540-625-2527    
Joelle Lopez,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11458 Kings Hwy, King George, VA 22485
Phone: 540-775-2284    
Erika Berdeguez, AGACNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 17573 Wild Cherry Ln, King George, VA 22485
Phone: 301-520-3969    
Holly Blum, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11458 Kings Hwy, King George, VA 22485
Phone: 866-389-2727    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.