Kelly Oliver Spann, NP in Williamsburg, VA - Medicare Nurse Practitioner

Kelly Oliver Spann, NP is a medicare enrolled "Nurse Practitioner - Family" in Williamsburg, Virginia. She graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bon Secours Medical Group Hampton Roads Specialty Care Llc and her current practice location is 400 Sentara Cir Ste 320, Williamsburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 345-4800.

Kelly Oliver Spann is licensed to practice in Virginia (license number 0024165415) 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 1003990441.

Contact Information

	Kelly Oliver Spann, NP
	400 Sentara Cir Ste 320, Williamsburg, VA 23188-5716
	(757) 345-4800
	(757) 345-4801

Map and Direction

Provider's Profile

Full Name	Kelly Oliver Spann
Gender	Female
Speciality	Nurse Practitioner
Experience	24 Years
Location	400 Sentara Cir Ste 320, Williamsburg, Virginia
Accepts Medicare Assignments	Yes. 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 Oliver Spann graduated from nursing school in 2002

NPI Data:

NPI Number: 1003990441
Provider Enumeration Date: 10/24/2006
Last Update Date: 06/03/2026

Medicare PECOS Information:

PECOS PAC ID: 8527051291
Enrollment ID: I20040407000859

Medical Identifiers

Medical identifiers for Kelly Oliver Spann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003990441	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024165415 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bon Secours Mary Immaculate Hospital	Newport news, VA	Hospital
Bon Secours Maryview Medical Center	Portsmouth, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bon Secours Medical Group Hampton Roads Specialty Care Llc	3173955671	195

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 Oliver Spann allows following entities to bill medicare on her behalf.

Entity Name	Mary Immaculate Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538535463 PECOS PAC ID: 0042124042 Enrollment ID: O20031114000096

Entity Name	Bon Secours Medical Group Hampton Roads Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258

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 Oliver Spann 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 Address	Practice Location Address
Kelly Oliver Spann, NP 400 Sentara Cir Ste 320, Williamsburg, VA 23188-5716 Ph: (757) 345-4800	Kelly Oliver Spann, NP 400 Sentara Cir Ste 320, Williamsburg, VA 23188-5716 Ph: (757) 345-4800

Reviews and Comments

Nurse Practitioner Nurses in Williamsburg, VA

Rebecca Hennen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 Gooch Drive, Williamsburg, VA 23185 Phone: 757-221-4386
Mrs. Leah Meister Childress, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1144 Professional Dr, Williamsburg, VA 23185 Phone: 757-259-0443 Fax: 757-259-0450
Manju Treesa Jose, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5436 Burlington Ct, Williamsburg, VA 23188 Phone: 757-968-0936
Julie Andrews, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4601 Ironbound Rd, Williamsburg, VA 23188 Phone: 757-253-5161
Michelle Hoffmann, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5000 New Point Rd Ste 2301, Williamsburg, VA 23188 Phone: 757-201-9771
Yaneka Rhea Alaimalo, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Sentara Cir Ste 320, Williamsburg, VA 23188 Phone: 757-345-4300 Fax: 757-510-9190

Kelly Oliver Spann, NP - Medicare Nurse Practitioner in Williamsburg, VA