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

Kelly Elise Rupp

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225696883

Kelly Elise Rupp is a Physician Assistant in Dayton, Virginia. Qualified in 2019, 7 years ago. Practices with Carilion Healthcare Corporation, a 549-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

15 Killdeer Ln
Dayton, VA 22821-9745
Phone: (540) 879-4300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110006777 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225696883
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 30, 2019
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Carilion Healthcare Corporation — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dayton