Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelley Prado, PA-C

Individual provider Physician Assistant · NPI 1962872937

Kelley Prado, PA-C is a Physician Assistant in Woodbridge, Virginia. Qualified in 2015, 11 years ago. Practices with Ideal Telemedicine Services LLC, a 51-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13168 Centerpointe Way Ste 101
Woodbridge, VA 22193-5287
Phone: (703) 730-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110005061 (VA)

Record details

NPI number1962872937
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 2, 2015
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address500 Sw 7th St Ste A205, Renton, WA 98057-2983

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ideal Telemedicine Services Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations25 on file with Medicare

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